KEVIN USMAN
Dependent on policy B10M000092
Claims
3
Attributed to this person
Charged
1,096.00
Total submitted
Denied
93.00
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 | KEVIN USMAN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B10M000092 |
| Date of birth | 5 Oct 1983 |
| Plan | GOLD PPO |
| Covered from | 16 May 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 |
|---|---|---|---|---|---|
| CLM0000385 | 18 Apr 2025 | 335.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000384 | 21 Jan 2025 | 93.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 93.00 |
| CLM0000386 | 10 Oct 2024 | 668.00 | NORTHSTAR MUTUAL | Not denied | — |