RAVI KUMAR
Dependent on policy B06M000843
Claims
3
Attributed to this person
Charged
876.00
Total submitted
Denied
335.00
1 denied claims
Patient responsibility
52.35
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 | RAVI KUMAR |
| Role on the policy | Dependent · relationship 01 |
| Policy | B06M000843 |
| Date of birth | 10 Nov 2001 |
| Plan | PLATINUM PPO |
| Covered from | 23 Feb 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 52.35 |
| Total | 52.35 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003688 | 20 Jun 2026 | 349.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003687 | 31 Oct 2025 | 335.00 | NORTHSTAR MUTUAL | CARC 11 · CODING | 335.00 |
| CLM0003686 | 22 Mar 2025 | 192.00 | NORTHSTAR MUTUAL | Not denied | — |