FIONA YAMADA
Subscriber on policy B04M000331
Claims
2
Attributed to this person
Charged
996.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
83.70
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 | Subscriber |
| Policy | B04M000331 |
| Date of birth | 5 Mar 1974 |
| Plan | BRONZE EPO |
| Covered from | 22 Aug 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 83.70 |
| Total | 83.70 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001443 | 11 Mar 2026 | 438.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001442 | 25 Jun 2025 | 558.00 | MERIDIAN HEALTH PLAN | Not denied | — |