FIONA YAMADA
Dependent on policy B03M000289
Claims
3
Attributed to this person
Charged
704.00
Total submitted
Denied
178.00
2 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 | FIONA YAMADA |
| Role on the policy | Dependent · relationship 19 |
| Policy | B03M000289 |
| Date of birth | 4 Apr 2017 |
| Plan | PLATINUM PPO |
| Covered from | 1 Oct 2024 |
| Covered to | 22 Mar 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001143 | 22 Apr 2025 | 60.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 60.00 |
| CLM0001142 | 16 Nov 2024 | 526.00 | CASCADE CARE | Not denied | — |
| CLM0001144 | 11 Sep 2024 | 118.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 118.00 |