ZARA KUMAR
Dependent on policy B10M000882
Claims
1
Attributed to this person
Charged
823.00
Total submitted
Denied
823.00
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 | ZARA KUMAR |
| Role on the policy | Dependent · relationship 01 |
| Policy | B10M000882 |
| Date of birth | 7 Dec 1965 |
| Plan | SILVER HMO |
| Covered from | 30 Mar 2025 |
| Covered to | 17 Aug 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 |
|---|---|---|---|---|---|
| CLM0003751 | 14 May 2025 | 823.00 | NORTHSTAR MUTUAL | CARC 18 · DUPLICATE | 823.00 |