DAVID KUMAR
Dependent on policy B01M000450
Claims
3
Attributed to this person
Charged
696.00
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 | DAVID KUMAR |
| Role on the policy | Dependent · relationship 01 |
| Policy | B01M000450 |
| Date of birth | 10 Jul 1978 |
| Plan | SILVER HMO |
| Covered from | 27 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 |
|---|---|---|---|---|---|
| CLM0002005 | 30 Jul 2026 | 70.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002007 | 3 Oct 2025 | 155.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002006 | 9 Feb 2025 | 471.00 | NORTHSTAR MUTUAL | Not denied | — |