PRIYA YAMADA
Dependent on policy B09M000190
Claims
1
Attributed to this person
Charged
135.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
40.00
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 | PRIYA YAMADA |
| Role on the policy | Dependent · relationship 19 |
| Policy | B09M000190 |
| Date of birth | 27 Jun 2008 |
| Plan | PLATINUM PPO |
| Covered from | 17 Jun 2025 |
| Covered to | 27 Jan 2026 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 3 · Copay | 1 | 40.00 |
| Total | 40.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000792 | 19 Feb 2026 | 135.00 | MERIDIAN HEALTH PLAN | Not denied | — |