PRIYA USMAN
Subscriber on policy B07M000248
Claims
2
Attributed to this person
Charged
324.00
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 | PRIYA USMAN |
| Role on the policy | Subscriber |
| Policy | B07M000248 |
| Date of birth | 28 May 1974 |
| Plan | PLATINUM PPO |
| Covered from | 2 Sep 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 |
|---|---|---|---|---|---|
| CLM0001053 | 20 Feb 2025 | 148.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001052 | 27 Oct 2024 | 176.00 | NORTHSTAR MUTUAL | Not denied | — |