WENDY YAMADA
Subscriber on policy B06M000043
Claims
3
Attributed to this person
Charged
1,351.00
Total submitted
Denied
1,062.00
2 denied claims
Patient responsibility
43.35
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 | Subscriber |
| Policy | B06M000043 |
| Date of birth | 27 Mar 1978 |
| Plan | BRONZE EPO |
| Covered from | 28 May 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 43.35 |
| Total | 43.35 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000239 | 6 Sep 2025 | 289.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000241 | 21 Feb 2025 | 716.00 | MERIDIAN HEALTH PLAN | CARC 197 · AUTHORIZATION | 716.00 |
| CLM0000240 | 20 Jun 2024 | 346.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 346.00 |