YUSUF YAMADA
Subscriber on policy B02M000369
Claims
2
Attributed to this person
Charged
957.00
Total submitted
Denied
337.00
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 | YUSUF YAMADA |
| Role on the policy | Subscriber |
| Policy | B02M000369 |
| Date of birth | 16 Jan 1967 |
| Plan | GOLD PPO |
| Covered from | 23 May 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 |
|---|---|---|---|---|---|
| CLM0001572 | 3 May 2026 | 337.00 | NORTHSTAR MUTUAL | CARC 96 · NON_COVERED | 337.00 |
| CLM0001573 | 22 Jan 2025 | 620.00 | NORTHSTAR MUTUAL | Not denied | — |