ELENA KUMAR
Dependent on policy B06M000520
Claims
3
Attributed to this person
Charged
1,904.00
Total submitted
Denied
399.17
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 KUMAR |
| Role on the policy | Dependent · relationship 19 |
| Policy | B06M000520 |
| Date of birth | 30 Oct 1984 |
| Plan | GOLD PPO |
| Covered from | 26 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 |
|---|---|---|---|---|---|
| CLM0002321 | 2 Jul 2026 | 866.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002320 | 16 Jul 2025 | 856.00 | NORTHSTAR MUTUAL | CARC 197 · AUTHORIZATION | 399.17 |
| CLM0002322 | 16 Mar 2025 | 182.00 | NORTHSTAR MUTUAL | Not denied | — |