OMAR YAMADA
Dependent on policy B05M000735
Claims
1
Attributed to this person
Charged
671.00
Total submitted
Denied
671.00
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 | OMAR YAMADA |
| Role on the policy | Dependent · relationship 01 |
| Policy | B05M000735 |
| Date of birth | 22 Dec 1950 |
| Plan | GOLD PPO |
| Covered from | 7 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 |
|---|---|---|---|---|---|
| CLM0003130 | 15 Mar 2026 | 671.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 671.00 |