VICTOR KUMAR
Subscriber on policy B02M000820
Claims
3
Attributed to this person
Charged
970.00
Total submitted
Denied
282.00
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 | VICTOR KUMAR |
| Role on the policy | Subscriber |
| Policy | B02M000820 |
| Date of birth | 6 Sep 1978 |
| Plan | GOLD PPO |
| Covered from | 24 Jun 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 |
|---|---|---|---|---|---|
| CLM0003405 | 16 Apr 2025 | 282.00 | NORTHSTAR MUTUAL | CARC 197 · AUTHORIZATION | 282.00 |
| CLM0003407 | 23 Jul 2024 | 157.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003406 | 16 Jul 2024 | 531.00 | NORTHSTAR MUTUAL | Not denied | — |