PRIYA YAMADA
Subscriber on policy B02M000509
Claims
3
Attributed to this person
Charged
1,521.00
Total submitted
Denied
706.00
1 denied claims
Patient responsibility
19.95
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 | PRIYA YAMADA |
| Role on the policy | Subscriber |
| Policy | B02M000509 |
| Date of birth | 8 Apr 1990 |
| Plan | BRONZE EPO |
| Covered from | 28 Aug 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 19.95 |
| Total | 19.95 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002162 | 15 May 2026 | 133.00 | CASCADE CARE | Not denied | — |
| CLM0002161 | 10 Feb 2026 | 682.00 | CASCADE CARE | Not denied | — |
| CLM0002160 | 11 Jun 2025 | 706.00 | CASCADE CARE | CARC 29 · TIMELY_FILING | 706.00 |