KEVIN KUMAR
Subscriber on policy B06M000220
Claims
3
Attributed to this person
Charged
1,178.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
334.10
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 | KEVIN KUMAR |
| Role on the policy | Subscriber |
| Policy | B06M000220 |
| Date of birth | 22 Jun 1975 |
| Plan | SILVER HMO |
| Covered from | 7 Jan 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 50 · Other | 1 | 334.10 |
| Total | 334.10 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001051 | 25 Apr 2026 | 514.00 | CASCADE CARE | CARC 50 · MEDICAL_NECESSITY | 0.00 |
| CLM0001052 | 17 Jan 2026 | 327.00 | CASCADE CARE | Not denied | — |
| CLM0001050 | 10 Feb 2025 | 337.00 | CASCADE CARE | Not denied | — |