OMAR YAMADA
Dependent on policy B08M000815
Claims
3
Attributed to this person
Charged
1,970.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
85.80
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 | OMAR YAMADA |
| Role on the policy | Dependent · relationship 19 |
| Policy | B08M000815 |
| Date of birth | 26 Nov 1979 |
| Plan | BRONZE EPO |
| Covered from | 25 Apr 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 85.80 |
| Total | 85.80 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003650 | 11 Jul 2026 | 771.00 | CASCADE CARE | Not denied | — |
| CLM0003651 | 4 Nov 2025 | 770.00 | CASCADE CARE | Not denied | — |
| CLM0003649 | 3 Nov 2025 | 429.00 | CASCADE CARE | Not denied | — |