PRIYA YAMADA
Dependent on policy B10M000460
Claims
3
Attributed to this person
Charged
1,595.00
Total submitted
Denied
783.00
1 denied claims
Patient responsibility
51.60
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 | PRIYA YAMADA |
| Role on the policy | Dependent · relationship 01 |
| Policy | B10M000460 |
| Date of birth | 12 Apr 1948 |
| Plan | PLATINUM PPO |
| Covered from | 28 May 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 51.60 |
| Total | 51.60 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001907 | 31 Jul 2026 | 344.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001906 | 30 May 2026 | 783.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 783.00 |
| CLM0001908 | 18 Nov 2025 | 468.00 | MERIDIAN HEALTH PLAN | Not denied | — |