WENDY YAMADA
Subscriber on policy B04M000835
Claims
1
Attributed to this person
Charged
878.00
Total submitted
Denied
878.00
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 | WENDY YAMADA |
| Role on the policy | Subscriber |
| Policy | B04M000835 |
| Date of birth | 10 Jan 1972 |
| Plan | PLATINUM PPO |
| Covered from | 13 May 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 |
|---|---|---|---|---|---|
| CLM0003608 | 13 Apr 2025 | 878.00 | NORTHSTAR MUTUAL | CARC 18 · DUPLICATE | 878.00 |