FIONA KUMAR
Dependent on policy B10M000583
Claims
3
Attributed to this person
Charged
676.00
Total submitted
Denied
200.00
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 | FIONA KUMAR |
| Role on the policy | Dependent · relationship 01 |
| Policy | B10M000583 |
| Date of birth | 27 Sep 1998 |
| Plan | PLATINUM PPO |
| Covered from | 23 Jan 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 |
|---|---|---|---|---|---|
| CLM0002416 | 3 May 2026 | 200.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 200.00 |
| CLM0002417 | 24 Sep 2024 | 268.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002418 | 23 Feb 2024 | 208.00 | NORTHSTAR MUTUAL | Not denied | — |