PRIYA KUMAR
Dependent on policy B10M000271
Claims
1
Attributed to this person
Charged
339.00
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 | PRIYA KUMAR |
| Role on the policy | Dependent · relationship 19 |
| Policy | B10M000271 |
| Date of birth | 5 Jan 1983 |
| Plan | SILVER HMO |
| Covered from | 6 Jan 2024 |
| Covered to | 1 Aug 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001129 | 25 Feb 2024 | 339.00 | NORTHSTAR MUTUAL | Not denied | — |