ELENA USMAN
Dependent on policy B01M000329
Claims
3
Attributed to this person
Charged
1,604.00
Total submitted
Denied
0.00
0 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 | ELENA USMAN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B01M000329 |
| Date of birth | 19 May 1961 |
| Plan | SILVER HMO |
| Covered from | 23 Dec 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 |
|---|---|---|---|---|---|
| CLM0001463 | 11 Aug 2026 | 826.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001464 | 13 May 2026 | 506.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001462 | 14 Mar 2026 | 272.00 | NORTHSTAR MUTUAL | Not denied | — |