HENRY YAMADA
Dependent on policy B04M000009
Claims
2
Attributed to this person
Charged
986.00
Total submitted
Denied
99.34
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 | HENRY YAMADA |
| Role on the policy | Dependent · relationship 01 |
| Policy | B04M000009 |
| Date of birth | 8 Apr 1982 |
| Plan | SILVER HMO |
| Covered from | 20 Sep 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 |
|---|---|---|---|---|---|
| CLM0000048 | 12 Jan 2026 | 486.00 | MERIDIAN HEALTH PLAN | CARC 109 · COB | 99.34 |
| CLM0000047 | 4 Sep 2025 | 500.00 | MERIDIAN HEALTH PLAN | Not denied | — |