KEVIN USMAN
Dependent on policy B09M000781
Claims
2
Attributed to this person
Charged
508.00
Total submitted
Denied
0.00
0 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 | KEVIN USMAN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B09M000781 |
| Date of birth | 27 Jul 2018 |
| Plan | SILVER HMO |
| Covered from | 4 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 |
|---|---|---|---|---|---|
| CLM0003306 | 18 May 2026 | 376.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003307 | 12 Mar 2026 | 132.00 | NORTHSTAR MUTUAL | Not denied | — |