NADIA YAMADA
Subscriber on policy B09M000568
Claims
1
Attributed to this person
Charged
779.00
Total submitted
Denied
779.00
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 โ 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 | NADIA YAMADA |
| Role on the policy | Subscriber |
| Policy | B09M000568 |
| Date of birth | 30 Dec 1981 |
| Plan | GOLD PPO |
| Covered from | 19 May 2025 |
| Covered to | 29 Sep 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002405 | 16 May 2025 | 779.00 | CASCADE CARE | CARC 26 ยท ELIGIBILITY | 779.00 |