JULIA KUMAR
Dependent on policy B10M000882
Claims
3
Attributed to this person
Charged
1,737.00
Total submitted
Denied
808.00
1 denied claims
Patient responsibility
21.60
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 | JULIA KUMAR |
| Role on the policy | Dependent · relationship 19 |
| Policy | B10M000882 |
| Date of birth | 12 Jul 1999 |
| Plan | SILVER HMO |
| Covered from | 30 Mar 2025 |
| Covered to | 17 Aug 2025 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 21.60 |
| Total | 21.60 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003753 | 18 Sep 2025 | 108.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003752 | 14 Jul 2025 | 808.00 | NORTHSTAR MUTUAL | CARC 11 · CODING | 808.00 |
| CLM0003754 | 18 Apr 2025 | 821.00 | NORTHSTAR MUTUAL | Not denied | — |