JULIA YAMADA
Subscriber on policy B05M000876
Claims
3
Attributed to this person
Charged
1,287.00
Total submitted
Denied
761.00
1 denied claims
Patient responsibility
84.00
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 | JULIA YAMADA |
| Role on the policy | Subscriber |
| Policy | B05M000876 |
| Date of birth | 19 Jul 1958 |
| Plan | PLATINUM PPO |
| Covered from | 5 Apr 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 63.60 |
| CARC 2 · Coinsurance | 1 | 20.40 |
| Total | 84.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003713 | 14 Jul 2026 | 102.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003715 | 26 Mar 2025 | 424.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003714 | 5 Oct 2024 | 761.00 | MERIDIAN HEALTH PLAN | CARC 18 · DUPLICATE | 761.00 |