FIONA KUMAR
Dependent on policy B06M000661
Claims
3
Attributed to this person
Charged
2,212.00
Total submitted
Denied
1,422.00
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 | FIONA KUMAR |
| Role on the policy | Dependent · relationship 01 |
| Policy | B06M000661 |
| Date of birth | 25 Mar 1986 |
| Plan | BRONZE EPO |
| Covered from | 11 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 |
|---|---|---|---|---|---|
| CLM0002921 | 15 Dec 2024 | 743.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 743.00 |
| CLM0002922 | 22 Jul 2024 | 790.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002920 | 2 Apr 2024 | 679.00 | MERIDIAN HEALTH PLAN | CARC 197 · AUTHORIZATION | 679.00 |