IVAN KUMAR
Dependent on policy B05M000286
Claims
2
Attributed to this person
Charged
808.00
Total submitted
Denied
183.67
2 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 | IVAN KUMAR |
| Role on the policy | Dependent · relationship 01 |
| Policy | B05M000286 |
| Date of birth | 28 May 1987 |
| 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 |
|---|---|---|---|---|---|
| CLM0001181 | 20 Apr 2026 | 379.00 | NORTHSTAR MUTUAL | CARC 197 · AUTHORIZATION | 89.99 |
| CLM0001182 | 23 Apr 2024 | 429.00 | NORTHSTAR MUTUAL | CARC 29 · TIMELY_FILING | 93.68 |