IVAN USMAN
Subscriber on policy B10M000406
Claims
3
Attributed to this person
Charged
605.00
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 | IVAN USMAN |
| Role on the policy | Subscriber |
| Policy | B10M000406 |
| Date of birth | 20 Oct 2002 |
| Plan | GOLD PPO |
| Covered from | 3 Mar 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 |
|---|---|---|---|---|---|
| CLM0001683 | 14 Apr 2026 | 202.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001682 | 11 Nov 2025 | 110.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001684 | 30 Dec 2024 | 293.00 | NORTHSTAR MUTUAL | Not denied | — |