VICTOR YAMADA
Dependent on policy B01M000250
Claims
3
Attributed to this person
Charged
1,736.00
Total submitted
Denied
696.00
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 | VICTOR YAMADA |
| Role on the policy | Dependent · relationship 01 |
| Policy | B01M000250 |
| Date of birth | 14 Apr 1996 |
| 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 |
|---|---|---|---|---|---|
| CLM0001059 | 14 Mar 2026 | 696.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 696.00 |
| CLM0001058 | 30 Sep 2024 | 426.00 | CASCADE CARE | Not denied | — |
| CLM0001060 | 6 Aug 2024 | 614.00 | CASCADE CARE | Not denied | — |