OMAR YAMADA
Subscriber on policy B04M000638
Claims
2
Attributed to this person
Charged
810.00
Total submitted
Denied
0.00
0 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 | OMAR YAMADA |
| Role on the policy | Subscriber |
| Policy | B04M000638 |
| Date of birth | 10 Feb 1971 |
| Plan | GOLD PPO |
| Covered from | 27 Aug 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 |
|---|---|---|---|---|---|
| CLM0002766 | 21 Aug 2026 | 456.00 | CASCADE CARE | Not denied | — |
| CLM0002765 | 29 Sep 2024 | 354.00 | CASCADE CARE | Not denied | — |