HENRY YAMADA
Subscriber on policy B04M000188
Claims
3
Attributed to this person
Charged
1,354.00
Total submitted
Denied
1,208.00
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 | HENRY YAMADA |
| Role on the policy | Subscriber |
| Policy | B04M000188 |
| Date of birth | 9 Aug 1975 |
| Plan | PLATINUM PPO |
| Covered from | 22 Mar 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 |
|---|---|---|---|---|---|
| CLM0000838 | 13 Jun 2025 | 516.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 516.00 |
| CLM0000839 | 1 Dec 2024 | 692.00 | CASCADE CARE | CARC 18 · DUPLICATE | 692.00 |
| CLM0000840 | 2 Sep 2024 | 146.00 | CASCADE CARE | Not denied | — |