OMAR USMAN
Dependent on policy B10M000610
Claims
2
Attributed to this person
Charged
493.00
Total submitted
Denied
424.00
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 | OMAR USMAN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B10M000610 |
| Date of birth | 23 Jul 1957 |
| Plan | BRONZE EPO |
| Covered from | 2 Mar 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0002542 | 25 Jul 2026 | 69.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002543 | 16 Apr 2025 | 424.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 424.00 |