KEVIN YAMADA
Subscriber on policy B06M000162
Claims
1
Attributed to this person
Charged
773.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
502.45
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 | KEVIN YAMADA |
| Role on the policy | Subscriber |
| Policy | B06M000162 |
| Date of birth | 24 Oct 1975 |
| Plan | GOLD PPO |
| Covered from | 8 Jan 2025 |
| Covered to | 15 Sep 2025 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 50 · Other | 1 | 502.45 |
| Total | 502.45 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000803 | 9 Sep 2025 | 773.00 | MERIDIAN HEALTH PLAN | CARC 50 · MEDICAL_NECESSITY | 0.00 |