UMA KUMAR
Dependent on policy B01M000844
Claims
1
Attributed to this person
Charged
521.00
Total submitted
Denied
521.00
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 | UMA KUMAR |
| Role on the policy | Dependent · relationship 01 |
| Policy | B01M000844 |
| Date of birth | 6 Jan 1981 |
| Plan | PLATINUM PPO |
| Covered from | 15 Nov 2024 |
| Covered to | 21 Jul 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 |
|---|---|---|---|---|---|
| CLM0003744 | 2 Nov 2024 | 521.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 521.00 |