FIONA USMAN
Dependent on policy B10M000036
Claims
2
Attributed to this person
Charged
899.00
Total submitted
Denied
34.49
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 | FIONA USMAN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B10M000036 |
| Date of birth | 18 Nov 1978 |
| Plan | BRONZE EPO |
| Covered from | 6 Feb 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 |
|---|---|---|---|---|---|
| CLM0000142 | 11 Apr 2026 | 753.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000141 | 24 Oct 2024 | 146.00 | NORTHSTAR MUTUAL | CARC 197 · AUTHORIZATION | 34.49 |