HENRY YAMADA
Subscriber on policy B10M000491
Claims
1
Attributed to this person
Charged
374.00
Total submitted
Denied
374.00
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 | HENRY YAMADA |
| Role on the policy | Subscriber |
| Policy | B10M000491 |
| Date of birth | 17 Aug 1986 |
| Plan | GOLD PPO |
| Covered from | 17 Dec 2024 |
| 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 |
|---|---|---|---|---|---|
| CLM0002032 | 7 Dec 2024 | 374.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 374.00 |