BRIAN KUMAR
Dependent on policy B09M000896
Claims
2
Attributed to this person
Charged
817.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
18.90
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 | BRIAN KUMAR |
| Role on the policy | Dependent · relationship 01 |
| Policy | B09M000896 |
| Date of birth | 15 Apr 1946 |
| Plan | BRONZE EPO |
| Covered from | 13 Oct 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 18.90 |
| Total | 18.90 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003836 | 24 Feb 2026 | 691.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003835 | 18 Feb 2026 | 126.00 | NORTHSTAR MUTUAL | Not denied | — |