KEVIN YAMADA
Dependent on policy B04M000009
Claims
1
Attributed to this person
Charged
315.00
Total submitted
Denied
315.00
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 | KEVIN YAMADA |
| Role on the policy | Dependent · relationship 19 |
| Policy | B04M000009 |
| Date of birth | 20 May 2004 |
| 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 |
|---|---|---|---|---|---|
| CLM0000051 | 29 Dec 2025 | 315.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 315.00 |