WENDY YAMADA
Dependent on policy B05M000126
Claims
1
Attributed to this person
Charged
712.00
Total submitted
Denied
712.00
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 | WENDY YAMADA |
| Role on the policy | Dependent · relationship 01 |
| Policy | B05M000126 |
| Date of birth | 25 Apr 1979 |
| 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 |
|---|---|---|---|---|---|
| CLM0000535 | 23 Jun 2025 | 712.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 712.00 |