UMA YAMADA
Subscriber on policy B02M000373
Claims
3
Attributed to this person
Charged
750.00
Total submitted
Denied
135.00
1 denied claims
Patient responsibility
30.90
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 | UMA YAMADA |
| Role on the policy | Subscriber |
| Policy | B02M000373 |
| Date of birth | 15 Sep 1983 |
| Plan | PLATINUM PPO |
| Covered from | 15 Sep 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 30.90 |
| Total | 30.90 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001588 | 12 Mar 2026 | 206.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001589 | 10 Aug 2025 | 409.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001587 | 21 Feb 2025 | 135.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 135.00 |