MARCUS YAMADA
Subscriber on policy B10M000143
Claims
2
Attributed to this person
Charged
750.00
Total submitted
Denied
198.00
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 | MARCUS YAMADA |
| Role on the policy | Subscriber |
| Policy | B10M000143 |
| Date of birth | 29 Jul 2004 |
| Plan | SILVER HMO |
| Covered from | 10 Jan 2024 |
| Covered to | 15 May 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000596 | 29 Mar 2024 | 198.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 198.00 |
| CLM0000597 | 21 Jan 2024 | 552.00 | NORTHSTAR MUTUAL | Not denied | — |