RAVI USMAN
Subscriber on policy B01M000810
Claims
1
Attributed to this person
Charged
664.00
Total submitted
Denied
0.00
0 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 | RAVI USMAN |
| Role on the policy | Subscriber |
| Policy | B01M000810 |
| Date of birth | 24 Sep 1961 |
| Plan | GOLD PPO |
| Covered from | 12 Mar 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0003602 | 4 Jul 2025 | 664.00 | NORTHSTAR MUTUAL | Not denied | — |