HENRY YAMADA
Subscriber on policy B05M000509
Claims
3
Attributed to this person
Charged
1,699.00
Total submitted
Denied
503.00
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 | HENRY YAMADA |
| Role on the policy | Subscriber |
| Policy | B05M000509 |
| Date of birth | 26 Apr 1984 |
| Plan | PLATINUM PPO |
| Covered from | 15 Feb 2024 |
| Covered to | 18 Jun 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002184 | 4 Jun 2024 | 859.00 | CASCADE CARE | Not denied | — |
| CLM0002183 | 15 May 2024 | 337.00 | CASCADE CARE | Not denied | — |
| CLM0002185 | 6 Feb 2024 | 503.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 503.00 |