IVAN YAMADA
Dependent on policy B02M000778
Claims
1
Attributed to this person
Charged
219.00
Total submitted
Denied
0.00
0 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 | IVAN YAMADA |
| Role on the policy | Dependent · relationship 01 |
| Policy | B02M000778 |
| Date of birth | 21 Oct 1969 |
| Plan | SILVER HMO |
| Covered from | 19 Apr 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 |
|---|---|---|---|---|---|
| CLM0003246 | 28 Aug 2026 | 219.00 | NORTHSTAR MUTUAL | Not denied | — |