RAVI YAMADA
Dependent on policy B10M000059
Claims
1
Attributed to this person
Charged
181.00
Total submitted
Denied
181.00
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 | RAVI YAMADA |
| Role on the policy | Dependent · relationship 19 |
| Policy | B10M000059 |
| Date of birth | 3 Jul 1995 |
| Plan | SILVER HMO |
| Covered from | 18 May 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 |
|---|---|---|---|---|---|
| CLM0000243 | 11 Jun 2025 | 181.00 | CASCADE CARE | CARC 18 · DUPLICATE | 181.00 |