BRIAN USMAN
Dependent on policy B07M000035
Claims
1
Attributed to this person
Charged
899.00
Total submitted
Denied
899.00
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 | BRIAN USMAN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B07M000035 |
| Date of birth | 30 Jan 1986 |
| Plan | SILVER HMO |
| Covered from | 5 Nov 2024 |
| Covered to | 7 Jun 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000167 | 3 Jul 2025 | 899.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 899.00 |