LEILA YAMADA
Dependent on policy B04M000409
Claims
1
Attributed to this person
Charged
280.00
Total submitted
Denied
124.50
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 | LEILA YAMADA |
| Role on the policy | Dependent · relationship 19 |
| Policy | B04M000409 |
| Date of birth | 11 Apr 2011 |
| Plan | BRONZE EPO |
| Covered from | 11 Mar 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0001754 | 14 Jun 2025 | 280.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 124.50 |