ELENA YAMADA
Subscriber on policy B08M000463
Claims
2
Attributed to this person
Charged
827.00
Total submitted
Denied
235.00
1 denied claims
Patient responsibility
118.40
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 | Subscriber |
| Policy | B08M000463 |
| Date of birth | 9 Mar 1975 |
| Plan | SILVER HMO |
| Covered from | 15 Mar 2025 |
| Covered to | 4 Jan 2026 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 118.40 |
| Total | 118.40 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002130 | 27 Jan 2026 | 235.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 235.00 |
| CLM0002129 | 20 Apr 2025 | 592.00 | CASCADE CARE | Not denied | — |