PRIYA KUMAR
Dependent on policy B10M000430
Claims
2
Attributed to this person
Charged
1,205.00
Total submitted
Denied
620.00
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 | PRIYA KUMAR |
| Role on the policy | Dependent · relationship 19 |
| Policy | B10M000430 |
| Date of birth | 4 Nov 1996 |
| 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 |
|---|---|---|---|---|---|
| CLM0001792 | 4 Jun 2025 | 585.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001791 | 1 Apr 2025 | 620.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 620.00 |