LEILA KUMAR
Subscriber on policy B02M000561
Claims
3
Attributed to this person
Charged
1,562.00
Total submitted
Denied
774.00
2 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 | LEILA KUMAR |
| Role on the policy | Subscriber |
| Policy | B02M000561 |
| Date of birth | 11 Sep 1995 |
| Plan | GOLD PPO |
| Covered from | 30 Nov 2024 |
| 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 |
|---|---|---|---|---|---|
| CLM0002364 | 5 Jan 2026 | 438.00 | NORTHSTAR MUTUAL | CARC 29 · TIMELY_FILING | 438.00 |
| CLM0002363 | 26 Dec 2025 | 336.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 336.00 |
| CLM0002365 | 20 Feb 2025 | 788.00 | NORTHSTAR MUTUAL | Not denied | — |