ELENA YAMADA
Subscriber on policy B01M000348
Claims
3
Attributed to this person
Charged
1,535.00
Total submitted
Denied
660.00
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 | ELENA YAMADA |
| Role on the policy | Subscriber |
| Policy | B01M000348 |
| Date of birth | 23 Jan 2002 |
| Plan | GOLD PPO |
| Covered from | 17 Jun 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 |
|---|---|---|---|---|---|
| CLM0001534 | 21 Nov 2025 | 522.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001532 | 5 Oct 2025 | 353.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001533 | 29 Aug 2024 | 660.00 | NORTHSTAR MUTUAL | CARC 18 · DUPLICATE | 660.00 |