LEILA YAMADA
Subscriber on policy B04M000064
Claims
2
Attributed to this person
Charged
913.00
Total submitted
Denied
682.15
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 | LEILA YAMADA |
| Role on the policy | Subscriber |
| Policy | B04M000064 |
| Date of birth | 21 Sep 1978 |
| Plan | SILVER HMO |
| Covered from | 26 Mar 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0000277 | 21 Jun 2026 | 334.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 103.15 |
| CLM0000278 | 28 May 2026 | 579.00 | MERIDIAN HEALTH PLAN | CARC 197 · AUTHORIZATION | 579.00 |