TOMAS YAMADA
Subscriber on policy B05M000460
Claims
1
Attributed to this person
Charged
627.00
Total submitted
Denied
157.22
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 | TOMAS YAMADA |
| Role on the policy | Subscriber |
| Policy | B05M000460 |
| Date of birth | 19 Jun 1955 |
| Plan | GOLD PPO |
| Covered from | 19 May 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0001935 | 9 Jun 2026 | 627.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 157.22 |