VICTOR KUMAR
Subscriber on policy B03M000574
Claims
3
Attributed to this person
Charged
1,671.00
Total submitted
Denied
389.00
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 | B03M000574 |
| Date of birth | 12 Jul 1982 |
| Plan | BRONZE EPO |
| Covered from | 30 May 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 |
|---|---|---|---|---|---|
| CLM0002343 | 8 Aug 2026 | 636.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002342 | 22 Aug 2025 | 389.00 | NORTHSTAR MUTUAL | CARC 197 · AUTHORIZATION | 389.00 |
| CLM0002341 | 4 Aug 2025 | 646.00 | NORTHSTAR MUTUAL | Not denied | — |