NADIA YAMADA
Subscriber on policy B08M000725
Claims
3
Attributed to this person
Charged
754.00
Total submitted
Denied
79.68
1 denied claims
Patient responsibility
38.60
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 | NADIA YAMADA |
| Role on the policy | Subscriber |
| Policy | B08M000725 |
| Date of birth | 13 Apr 1982 |
| Plan | BRONZE EPO |
| Covered from | 24 Mar 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 38.60 |
| Total | 38.60 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003254 | 19 Jun 2026 | 193.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003252 | 11 Jan 2026 | 206.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003253 | 3 May 2025 | 355.00 | NORTHSTAR MUTUAL | CARC 18 · DUPLICATE | 79.68 |