IVAN KUMAR
Dependent on policy B10M000430
Claims
2
Attributed to this person
Charged
1,301.00
Total submitted
Denied
654.00
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 | IVAN KUMAR |
| Role on the policy | Dependent · relationship 19 |
| Policy | B10M000430 |
| Date of birth | 3 Dec 1985 |
| Plan | BRONZE EPO |
| Covered from | 18 Apr 2025 |
| Covered to | 22 Oct 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001789 | 26 Oct 2025 | 654.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 654.00 |
| CLM0001790 | 25 Sep 2025 | 647.00 | NORTHSTAR MUTUAL | Not denied | — |