NADIA YAMADA
Subscriber on policy B10M000686
Claims
2
Attributed to this person
Charged
754.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
427.70
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 | NADIA YAMADA |
| Role on the policy | Subscriber |
| Policy | B10M000686 |
| Date of birth | 9 Sep 2001 |
| Plan | PLATINUM PPO |
| Covered from | 11 May 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 96 · Other | 1 | 427.70 |
| Total | 427.70 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002852 | 13 Jun 2025 | 658.00 | CASCADE CARE | CARC 96 · NON_COVERED | 0.00 |
| CLM0002853 | 18 May 2025 | 96.00 | CASCADE CARE | Not denied | — |