MARCUS YAMADA
Subscriber on policy B10M000535
Claims
3
Attributed to this person
Charged
2,033.00
Total submitted
Denied
178.35
2 denied claims
Patient responsibility
575.25
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 | B10M000535 |
| Date of birth | 22 Feb 1994 |
| Plan | BRONZE EPO |
| Covered from | 24 Dec 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 96 · Other | 1 | 575.25 |
| Total | 575.25 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002217 | 3 Jan 2026 | 881.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 178.35 |
| CLM0002215 | 4 Sep 2025 | 267.00 | CASCADE CARE | Not denied | — |
| CLM0002216 | 14 Jul 2025 | 885.00 | CASCADE CARE | CARC 96 · NON_COVERED | 0.00 |