HENRY YAMADA
Dependent on policy B08M000221
Claims
2
Attributed to this person
Charged
1,715.00
Total submitted
Denied
820.00
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 | HENRY YAMADA |
| Role on the policy | Dependent · relationship 19 |
| Policy | B08M000221 |
| Date of birth | 21 Jan 1995 |
| Plan | GOLD PPO |
| Covered from | 7 May 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 |
|---|---|---|---|---|---|
| CLM0000984 | 21 Dec 2025 | 895.00 | CASCADE CARE | Not denied | — |
| CLM0000985 | 20 Apr 2024 | 820.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 820.00 |