NADIA YAMADA
Dependent on policy B02M000214
Claims
1
Attributed to this person
Charged
406.00
Total submitted
Denied
406.00
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 | NADIA YAMADA |
| Role on the policy | Dependent · relationship 01 |
| Policy | B02M000214 |
| Date of birth | 20 Oct 1994 |
| Plan | BRONZE EPO |
| Covered from | 13 Feb 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 |
|---|---|---|---|---|---|
| CLM0000942 | 8 Feb 2025 | 406.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 406.00 |