VICTOR YAMADA
Dependent on policy B10M000839
Claims
2
Attributed to this person
Charged
516.00
Total submitted
Denied
280.00
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 | VICTOR YAMADA |
| Role on the policy | Dependent · relationship 01 |
| Policy | B10M000839 |
| Date of birth | 20 Apr 1956 |
| Plan | SILVER HMO |
| Covered from | 1 Mar 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0003563 | 27 Aug 2026 | 236.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003564 | 26 Nov 2025 | 280.00 | MERIDIAN HEALTH PLAN | CARC 96 · NON_COVERED | 280.00 |