BRIAN KUMAR
Subscriber on policy B04M000356
Claims
3
Attributed to this person
Charged
995.00
Total submitted
Denied
641.00
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 | BRIAN KUMAR |
| Role on the policy | Subscriber |
| Policy | B04M000356 |
| Date of birth | 22 Feb 1976 |
| Plan | BRONZE EPO |
| Covered from | 3 Apr 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 |
|---|---|---|---|---|---|
| CLM0001520 | 18 May 2026 | 354.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001522 | 4 Sep 2025 | 185.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 185.00 |
| CLM0001521 | 28 Jun 2024 | 456.00 | NORTHSTAR MUTUAL | CARC 18 · DUPLICATE | 456.00 |