AMARA KUMAR
Dependent on policy B07M000080
Claims
2
Attributed to this person
Charged
1,133.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
42.75
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 | AMARA KUMAR |
| Role on the policy | Dependent · relationship 01 |
| Policy | B07M000080 |
| Date of birth | 12 Dec 1981 |
| Plan | SILVER HMO |
| Covered from | 3 Jul 2024 |
| Covered to | 2 Sep 2024 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 42.75 |
| Total | 42.75 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000337 | 21 Jul 2024 | 285.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000338 | 28 Jun 2024 | 848.00 | MERIDIAN HEALTH PLAN | Not denied | — |