BRIAN USMAN
Subscriber on policy B05M000841
Claims
3
Attributed to this person
Charged
935.00
Total submitted
Denied
301.00
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 | BRIAN USMAN |
| Role on the policy | Subscriber |
| Policy | B05M000841 |
| Date of birth | 28 Dec 1989 |
| Plan | SILVER HMO |
| Covered from | 15 Jan 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 |
|---|---|---|---|---|---|
| CLM0003560 | 27 Oct 2025 | 301.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 301.00 |
| CLM0003561 | 4 Aug 2025 | 336.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003559 | 16 Jul 2025 | 298.00 | NORTHSTAR MUTUAL | Not denied | — |