ELENA KUMAR
Dependent on policy B08M000822
Claims
2
Attributed to this person
Charged
1,123.00
Total submitted
Denied
240.00
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 | ELENA KUMAR |
| Role on the policy | Dependent · relationship 01 |
| Policy | B08M000822 |
| Date of birth | 27 May 1979 |
| Plan | PLATINUM PPO |
| Covered from | 5 Jun 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 |
|---|---|---|---|---|---|
| CLM0003674 | 30 Sep 2025 | 883.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003675 | 15 Sep 2024 | 240.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 240.00 |