UMA KUMAR
Dependent on policy B04M000356
Claims
1
Attributed to this person
Charged
80.00
Total submitted
Denied
29.11
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 | UMA KUMAR |
| Role on the policy | Dependent · relationship 19 |
| Policy | B04M000356 |
| Date of birth | 23 Nov 2000 |
| 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 |
|---|---|---|---|---|---|
| CLM0001527 | 23 Apr 2026 | 80.00 | NORTHSTAR MUTUAL | CARC 18 · DUPLICATE | 29.11 |