YUSUF USMAN
Subscriber on policy B08M000259
Claims
2
Attributed to this person
Charged
888.00
Total submitted
Denied
888.00
2 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 | YUSUF USMAN |
| Role on the policy | Subscriber |
| Policy | B08M000259 |
| Date of birth | 30 Jul 1972 |
| Plan | PLATINUM PPO |
| Covered from | 26 Jan 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 |
|---|---|---|---|---|---|
| CLM0001172 | 22 Jul 2025 | 295.00 | NORTHSTAR MUTUAL | CARC 11 · CODING | 295.00 |
| CLM0001173 | 25 Jan 2024 | 593.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 593.00 |