HENRY YAMADA
Subscriber on policy B09M000190
Claims
2
Attributed to this person
Charged
1,155.00
Total submitted
Denied
504.00
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 | Subscriber |
| Policy | B09M000190 |
| Date of birth | 10 Nov 1987 |
| Plan | PLATINUM PPO |
| Covered from | 17 Jun 2025 |
| Covered to | 27 Jan 2026 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000789 | 21 Aug 2025 | 651.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000790 | 24 Jul 2025 | 504.00 | MERIDIAN HEALTH PLAN | CARC 50 · MEDICAL_NECESSITY | 504.00 |