ELENA KUMAR
Subscriber on policy B05M000286
Claims
2
Attributed to this person
Charged
905.00
Total submitted
Denied
783.00
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 | ELENA KUMAR |
| Role on the policy | Subscriber |
| Policy | B05M000286 |
| Date of birth | 2 Feb 1979 |
| Plan | PLATINUM PPO |
| Covered from | 11 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 |
|---|---|---|---|---|---|
| CLM0001179 | 6 Aug 2025 | 122.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001180 | 3 Jul 2024 | 783.00 | NORTHSTAR MUTUAL | CARC 11 · CODING | 783.00 |