WENDY YAMADA
Subscriber on policy B05M000065
Claims
2
Attributed to this person
Charged
731.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
53.20
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 | WENDY YAMADA |
| Role on the policy | Subscriber |
| Policy | B05M000065 |
| Date of birth | 17 Sep 1985 |
| Plan | SILVER HMO |
| Covered from | 9 Jan 2025 |
| Covered to | 31 Oct 2025 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 53.20 |
| Total | 53.20 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000310 | 31 Jul 2025 | 266.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000309 | 16 Feb 2025 | 465.00 | NORTHSTAR MUTUAL | Not denied | — |