OMAR USMAN
Subscriber on policy B01M000682
Claims
3
Attributed to this person
Charged
1,859.00
Total submitted
Denied
889.00
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 | OMAR USMAN |
| Role on the policy | Subscriber |
| Policy | B01M000682 |
| Date of birth | 11 Mar 1967 |
| Plan | SILVER HMO |
| Covered from | 28 Feb 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 |
|---|---|---|---|---|---|
| CLM0003057 | 5 Apr 2026 | 889.00 | NORTHSTAR MUTUAL | CARC 29 · TIMELY_FILING | 889.00 |
| CLM0003058 | 15 Mar 2026 | 223.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003059 | 11 Aug 2024 | 747.00 | NORTHSTAR MUTUAL | Not denied | — |