RAVI KUMAR
Dependent on policy B10M000882
Claims
2
Attributed to this person
Charged
1,505.00
Total submitted
Denied
725.00
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 | RAVI KUMAR |
| Role on the policy | Dependent · relationship 19 |
| Policy | B10M000882 |
| Date of birth | 23 Sep 2000 |
| 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 |
|---|---|---|---|---|---|
| CLM0003756 | 6 Jul 2025 | 780.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003755 | 3 Mar 2025 | 725.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 725.00 |