PRIYA USMAN
Dependent on policy B01M000160
Claims
3
Attributed to this person
Charged
1,401.00
Total submitted
Denied
61.36
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 | PRIYA USMAN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B01M000160 |
| Date of birth | 31 Dec 2006 |
| Plan | SILVER HMO |
| Covered from | 26 Oct 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 |
|---|---|---|---|---|---|
| CLM0000691 | 10 Aug 2025 | 798.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000690 | 28 Jul 2025 | 206.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 61.36 |
| CLM0000689 | 29 Mar 2025 | 397.00 | NORTHSTAR MUTUAL | Not denied | — |