LEILA YAMADA
Subscriber on policy B09M000069
Claims
2
Attributed to this person
Charged
725.00
Total submitted
Denied
200.46
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 | LEILA YAMADA |
| Role on the policy | Subscriber |
| Policy | B09M000069 |
| Date of birth | 24 Sep 1951 |
| Plan | GOLD PPO |
| Covered from | 13 Dec 2024 |
| 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 |
|---|---|---|---|---|---|
| CLM0000309 | 1 Dec 2025 | 314.00 | CASCADE CARE | Not denied | — |
| CLM0000310 | 20 Jul 2025 | 411.00 | CASCADE CARE | CARC 29 · TIMELY_FILING | 200.46 |