CARLA YAMADA
Subscriber on policy B08M000741
Claims
3
Attributed to this person
Charged
1,073.00
Total submitted
Denied
392.88
2 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 | CARLA YAMADA |
| Role on the policy | Subscriber |
| Policy | B08M000741 |
| Date of birth | 29 Mar 1998 |
| Plan | GOLD PPO |
| Covered from | 17 Apr 2025 |
| Covered to | 7 Dec 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003315 | 8 Jan 2026 | 175.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 175.00 |
| CLM0003316 | 3 May 2025 | 484.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 217.88 |
| CLM0003317 | 26 Apr 2025 | 414.00 | NORTHSTAR MUTUAL | Not denied | — |