ZARA KUMAR
Subscriber on policy B09M000896
Claims
3
Attributed to this person
Charged
1,645.00
Total submitted
Denied
239.96
2 denied claims
Patient responsibility
529.10
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 | ZARA KUMAR |
| Role on the policy | Subscriber |
| Policy | B09M000896 |
| Date of birth | 6 Aug 1952 |
| Plan | BRONZE EPO |
| Covered from | 13 Oct 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 50 · Other | 1 | 529.10 |
| Total | 529.10 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003832 | 22 May 2026 | 67.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003833 | 26 Nov 2025 | 814.00 | NORTHSTAR MUTUAL | CARC 50 · MEDICAL_NECESSITY | 0.00 |
| CLM0003834 | 28 Jan 2025 | 764.00 | NORTHSTAR MUTUAL | CARC 11 · CODING | 239.96 |