NADIA USMAN
Dependent on policy B03M000595
Claims
3
Attributed to this person
Charged
927.00
Total submitted
Denied
73.00
1 denied claims
Patient responsibility
33.00
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 | NADIA USMAN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B03M000595 |
| Date of birth | 6 Nov 1996 |
| Plan | SILVER HMO |
| Covered from | 8 Sep 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 33.00 |
| Total | 33.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002445 | 2 Aug 2026 | 634.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002444 | 27 Sep 2025 | 73.00 | NORTHSTAR MUTUAL | CARC 29 · TIMELY_FILING | 73.00 |
| CLM0002443 | 25 May 2025 | 220.00 | NORTHSTAR MUTUAL | Not denied | — |