JULIA YAMADA
Subscriber on policy B03M000130
Claims
3
Attributed to this person
Charged
1,169.00
Total submitted
Denied
460.00
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 | JULIA YAMADA |
| Role on the policy | Subscriber |
| Policy | B03M000130 |
| Date of birth | 17 Feb 1974 |
| Plan | SILVER HMO |
| Covered from | 7 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 |
|---|---|---|---|---|---|
| CLM0000521 | 7 May 2025 | 585.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000520 | 20 Oct 2024 | 124.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000519 | 30 Jun 2024 | 460.00 | NORTHSTAR MUTUAL | CARC 50 · MEDICAL_NECESSITY | 460.00 |