DAVID YAMADA
Dependent on policy B01M000868
Claims
3
Attributed to this person
Charged
865.00
Total submitted
Denied
399.30
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 | DAVID YAMADA |
| Role on the policy | Dependent · relationship 19 |
| Policy | B01M000868 |
| Date of birth | 24 Apr 2020 |
| Plan | BRONZE EPO |
| Covered from | 6 Jan 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 |
|---|---|---|---|---|---|
| CLM0003850 | 7 Aug 2026 | 187.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003852 | 25 Mar 2026 | 292.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 292.00 |
| CLM0003851 | 21 Nov 2025 | 386.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 107.30 |