KEVIN YAMADA
Subscriber on policy B09M000175
Claims
1
Attributed to this person
Charged
549.00
Total submitted
Denied
549.00
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 | KEVIN YAMADA |
| Role on the policy | Subscriber |
| Policy | B09M000175 |
| Date of birth | 28 Aug 1953 |
| Plan | BRONZE EPO |
| Covered from | 29 May 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0000731 | 16 May 2025 | 549.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 549.00 |