MARCUS YAMADA
Subscriber on policy B01M000250
Claims
1
Attributed to this person
Charged
541.00
Total submitted
Denied
541.00
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 | MARCUS YAMADA |
| Role on the policy | Subscriber |
| Policy | B01M000250 |
| Date of birth | 18 Jun 2000 |
| Plan | PLATINUM PPO |
| Covered from | 17 Jul 2024 |
| 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 |
|---|---|---|---|---|---|
| CLM0001057 | 19 Jun 2024 | 541.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 541.00 |