AMARA KUMAR
Subscriber on policy B03M000277
Claims
3
Attributed to this person
Charged
1,358.00
Total submitted
Denied
659.00
1 denied claims
Patient responsibility
126.00
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 | AMARA KUMAR |
| Role on the policy | Subscriber |
| Policy | B03M000277 |
| Date of birth | 16 Aug 1957 |
| Plan | GOLD PPO |
| Covered from | 3 Feb 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 126.00 |
| Total | 126.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001107 | 15 Feb 2026 | 659.00 | NORTHSTAR MUTUAL | CARC 18 · DUPLICATE | 659.00 |
| CLM0001106 | 9 Feb 2026 | 630.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001108 | 14 Feb 2025 | 69.00 | NORTHSTAR MUTUAL | Not denied | — |