AMARA USMAN
Subscriber on policy B01M000373
Claims
2
Attributed to this person
Charged
225.00
Total submitted
Denied
108.00
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 | AMARA USMAN |
| Role on the policy | Subscriber |
| Policy | B01M000373 |
| Date of birth | 22 Oct 1989 |
| Plan | SILVER HMO |
| Covered from | 5 Feb 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 |
|---|---|---|---|---|---|
| CLM0001656 | 21 May 2026 | 108.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 108.00 |
| CLM0001655 | 31 Aug 2024 | 117.00 | NORTHSTAR MUTUAL | Not denied | — |