ELENA YAMADA
Dependent on policy B01M000250
Claims
2
Attributed to this person
Charged
583.00
Total submitted
Denied
145.00
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 | ELENA YAMADA |
| Role on the policy | Dependent · relationship 19 |
| Policy | B01M000250 |
| Date of birth | 23 Jul 2008 |
| 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 |
|---|---|---|---|---|---|
| CLM0001064 | 9 Aug 2026 | 438.00 | CASCADE CARE | Not denied | — |
| CLM0001065 | 3 Sep 2024 | 145.00 | CASCADE CARE | CARC 50 · MEDICAL_NECESSITY | 145.00 |