JULIA YAMADA
Subscriber on policy B10M000627
Claims
1
Attributed to this person
Charged
435.00
Total submitted
Denied
435.00
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 | Subscriber |
| Policy | B10M000627 |
| Date of birth | 16 Dec 2004 |
| Plan | BRONZE EPO |
| Covered from | 18 May 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 |
|---|---|---|---|---|---|
| CLM0002612 | 1 Aug 2024 | 435.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 435.00 |