SOFIA YAMADA
Subscriber on policy B09M000651
Claims
2
Attributed to this person
Charged
906.00
Total submitted
Denied
595.00
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 | SOFIA YAMADA |
| Role on the policy | Subscriber |
| Policy | B09M000651 |
| Date of birth | 6 Dec 1960 |
| Plan | GOLD PPO |
| Covered from | 3 Feb 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 |
|---|---|---|---|---|---|
| CLM0002759 | 1 Jun 2025 | 311.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002760 | 6 Feb 2025 | 595.00 | NORTHSTAR MUTUAL | CARC 18 · DUPLICATE | 595.00 |