YUSUF KUMAR
Subscriber on policy B04M000569
Claims
2
Attributed to this person
Charged
504.00
Total submitted
Denied
78.04
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 | YUSUF KUMAR |
| Role on the policy | Subscriber |
| Policy | B04M000569 |
| Date of birth | 21 Jan 1990 |
| Plan | SILVER HMO |
| Covered from | 14 Sep 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 |
|---|---|---|---|---|---|
| CLM0002492 | 27 Sep 2025 | 332.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 78.04 |
| CLM0002491 | 25 Nov 2024 | 172.00 | NORTHSTAR MUTUAL | Not denied | — |