UMA YAMADA
Subscriber on policy B08M000184
Claims
1
Attributed to this person
Charged
601.00
Total submitted
Denied
280.24
1 denied claims
Patient responsibility
0.00
Reported on the 835
Patient responsibility is the amount reported on the 835 as assigned to the patient — deductible, coinsurance or copay. It is not proof that the provider billed the member, that the member owes it, or that it was collected, and it is kept separate from denied amounts throughout.
Who this is
| Field | Value |
|---|---|
| Name | UMA YAMADA |
| Role on the policy | Subscriber |
| Policy | B08M000184 |
| Date of birth | 10 Sep 1963 |
| Plan | GOLD PPO |
| Covered from | 7 Feb 2025 |
| Covered to | open |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000822 | 15 Mar 2025 | 601.00 | NORTHSTAR MUTUAL | CARC 18 · DUPLICATE | 280.24 |