OMAR YAMADA
Subscriber on policy B05M000126
Claims
3
Attributed to this person
Charged
1,008.00
Total submitted
Denied
775.00
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 | Subscriber |
| Policy | B05M000126 |
| Date of birth | 26 Jul 1983 |
| Plan | PLATINUM PPO |
| Covered from | 16 Aug 2024 |
| Covered to | 17 May 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000533 | 25 Mar 2025 | 79.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000534 | 8 Jan 2025 | 154.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000532 | 26 Jul 2024 | 775.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 775.00 |