ZARA YAMADA
Subscriber on policy B01M000530
Claims
2
Attributed to this person
Charged
1,372.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
25.00
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 | ZARA YAMADA |
| Role on the policy | Subscriber |
| Policy | B01M000530 |
| Date of birth | 23 Dec 1994 |
| Plan | BRONZE EPO |
| Covered from | 17 Jan 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 3 · Copay | 1 | 25.00 |
| Total | 25.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002387 | 13 May 2026 | 824.00 | CASCADE CARE | Not denied | — |
| CLM0002388 | 6 Dec 2024 | 548.00 | CASCADE CARE | Not denied | — |