MARCUS YAMADA
Dependent on policy B10M000495
Claims
3
Attributed to this person
Charged
1,138.00
Total submitted
Denied
94.00
1 denied claims
Patient responsibility
156.60
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 | MARCUS YAMADA |
| Role on the policy | Dependent · relationship 01 |
| Policy | B10M000495 |
| Date of birth | 10 Aug 1983 |
| Plan | BRONZE EPO |
| Covered from | 3 Nov 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 156.60 |
| Total | 156.60 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002046 | 23 Jan 2026 | 261.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002044 | 5 Jan 2026 | 94.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 94.00 |
| CLM0002045 | 10 Dec 2025 | 783.00 | NORTHSTAR MUTUAL | Not denied | — |