AMARA YAMADA
Dependent on policy B04M000527
Claims
3
Attributed to this person
Charged
722.00
Total submitted
Denied
163.79
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 | AMARA YAMADA |
| Role on the policy | Dependent · relationship 19 |
| Policy | B04M000527 |
| Date of birth | 30 Sep 1995 |
| Plan | BRONZE EPO |
| Covered from | 9 Jun 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 |
|---|---|---|---|---|---|
| CLM0002284 | 8 Oct 2025 | 106.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 40.79 |
| CLM0002283 | 3 Oct 2024 | 493.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002282 | 22 Jul 2024 | 123.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 123.00 |