CARLA YAMADA
Dependent on policy B05M000344
Claims
2
Attributed to this person
Charged
805.00
Total submitted
Denied
175.74
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 | CARLA YAMADA |
| Role on the policy | Dependent · relationship 01 |
| Policy | B05M000344 |
| Date of birth | 1 Sep 1968 |
| Plan | PLATINUM PPO |
| Covered from | 17 Nov 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 |
|---|---|---|---|---|---|
| CLM0001473 | 1 Jan 2026 | 498.00 | NORTHSTAR MUTUAL | CARC 18 · DUPLICATE | 175.74 |
| CLM0001474 | 15 May 2025 | 307.00 | NORTHSTAR MUTUAL | Not denied | — |