FIONA YAMADA
Subscriber on policy B10M000239
Claims
1
Attributed to this person
Charged
333.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
15.00
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 | FIONA YAMADA |
| Role on the policy | Subscriber |
| Policy | B10M000239 |
| Date of birth | 14 Aug 1960 |
| Plan | SILVER HMO |
| Covered from | 26 Mar 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 3 · Copay | 1 | 15.00 |
| Total | 15.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000979 | 17 Jun 2025 | 333.00 | CASCADE CARE | Not denied | — |