OMAR USMAN
Subscriber on policy B07M000877
Claims
2
Attributed to this person
Charged
739.00
Total submitted
Denied
255.00
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 | B07M000877 |
| Date of birth | 19 Jun 1968 |
| Plan | GOLD PPO |
| Covered from | 9 May 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 |
|---|---|---|---|---|---|
| CLM0003628 | 2 Jul 2025 | 255.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 255.00 |
| CLM0003627 | 21 Jan 2025 | 484.00 | NORTHSTAR MUTUAL | Not denied | — |