IVAN YAMADA
Subscriber on policy B09M000150
Claims
1
Attributed to this person
Charged
791.00
Total submitted
Denied
360.22
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 | IVAN YAMADA |
| Role on the policy | Subscriber |
| Policy | B09M000150 |
| Date of birth | 10 Mar 1979 |
| Plan | SILVER HMO |
| Covered from | 28 May 2025 |
| Covered to | 17 Mar 2026 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000635 | 10 Oct 2025 | 791.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 360.22 |