X12 Ingest & Denial Analytics

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Members›policy B03M000077›YUSUF YAMADA

YUSUF YAMADA

Dependent on policy B03M000077

Claims
2
Attributed to this person
Charged
1,458.00
Total submitted
Denied
712.00
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

FieldValue
NameYUSUF YAMADA
Role on the policyDependent · relationship 01
PolicyB03M000077
Date of birth23 Mar 1988
PlanGOLD PPO
Covered from14 Sep 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00003241 Apr 2026712.00MERIDIAN HEALTH PLANCARC 18 · DUPLICATE712.00
CLM00003234 Dec 2025746.00MERIDIAN HEALTH PLANNot denied—