RAVI USMAN
Dependent on policy B08M000128
Claims
1
Attributed to this person
Charged
351.00
Total submitted
Denied
351.00
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 | RAVI USMAN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B08M000128 |
| Date of birth | 30 Apr 1981 |
| Plan | BRONZE EPO |
| Covered from | 19 Jan 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 |
|---|---|---|---|---|---|
| CLM0000580 | 27 Jul 2026 | 351.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 351.00 |