YUSUF KUMAR
Subscriber on policy B01M000592
Claims
3
Attributed to this person
Charged
1,206.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
103.20
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 | YUSUF KUMAR |
| Role on the policy | Subscriber |
| Policy | B01M000592 |
| Date of birth | 31 Jul 1993 |
| Plan | BRONZE EPO |
| Covered from | 3 Jun 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 103.20 |
| Total | 103.20 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002640 | 3 Feb 2026 | 177.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002642 | 19 Sep 2025 | 513.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002641 | 29 Apr 2025 | 516.00 | NORTHSTAR MUTUAL | Not denied | — |