HENRY YAMADA
Dependent on policy B04M000861
Claims
3
Attributed to this person
Charged
1,200.00
Total submitted
Denied
338.00
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 | HENRY YAMADA |
| Role on the policy | Dependent · relationship 01 |
| Policy | B04M000861 |
| Date of birth | 9 Sep 1955 |
| Plan | GOLD PPO |
| Covered from | 4 Sep 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 |
|---|---|---|---|---|---|
| CLM0003724 | 21 Oct 2025 | 338.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 338.00 |
| CLM0003725 | 5 May 2025 | 725.00 | CASCADE CARE | Not denied | — |
| CLM0003726 | 22 Sep 2024 | 137.00 | CASCADE CARE | Not denied | — |