SOFIA KUMAR
Subscriber on policy B06M000230
Claims
3
Attributed to this person
Charged
1,477.00
Total submitted
Denied
291.72
1 denied claims
Patient responsibility
118.65
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 | SOFIA KUMAR |
| Role on the policy | Subscriber |
| Policy | B06M000230 |
| Date of birth | 28 Nov 1975 |
| Plan | BRONZE EPO |
| Covered from | 16 Feb 2025 |
| Covered to | 23 Nov 2025 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 118.65 |
| Total | 118.65 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001098 | 29 Sep 2025 | 603.00 | CASCADE CARE | CARC 109 · COB | 291.72 |
| CLM0001097 | 26 Aug 2025 | 83.00 | CASCADE CARE | Not denied | — |
| CLM0001099 | 1 Jun 2025 | 791.00 | CASCADE CARE | Not denied | — |