HENRY KUMAR
Subscriber on policy B09M000137
Claims
1
Attributed to this person
Charged
217.00
Total submitted
Denied
217.00
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 | HENRY KUMAR |
| Role on the policy | Subscriber |
| Policy | B09M000137 |
| Date of birth | 30 Nov 1953 |
| Plan | GOLD PPO |
| Covered from | 21 Aug 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 |
|---|---|---|---|---|---|
| CLM0000563 | 29 Apr 2026 | 217.00 | NORTHSTAR MUTUAL | CARC 29 · TIMELY_FILING | 217.00 |