ELENA KUMAR
Subscriber on policy B10M000759
Claims
1
Attributed to this person
Charged
261.00
Total submitted
Denied
261.00
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 | ELENA KUMAR |
| Role on the policy | Subscriber |
| Policy | B10M000759 |
| Date of birth | 12 Mar 1981 |
| Plan | PLATINUM PPO |
| Covered from | 27 Mar 2025 |
| Covered to | 5 Jun 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 |
|---|---|---|---|---|---|
| CLM0003179 | 23 Jun 2025 | 261.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 261.00 |