JULIA YAMADA
Dependent on policy B09M000412
Claims
1
Attributed to this person
Charged
163.00
Total submitted
Denied
163.00
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 | JULIA YAMADA |
| Role on the policy | Dependent · relationship 01 |
| Policy | B09M000412 |
| Date of birth | 14 Feb 1978 |
| Plan | BRONZE EPO |
| Covered from | 22 Nov 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 |
|---|---|---|---|---|---|
| CLM0001717 | 14 Apr 2026 | 163.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 163.00 |