VICTOR KUMAR
Subscriber on policy B07M000109
Claims
1
Attributed to this person
Charged
506.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
20.00
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 | VICTOR KUMAR |
| Role on the policy | Subscriber |
| Policy | B07M000109 |
| Date of birth | 15 Sep 1988 |
| Plan | BRONZE EPO |
| Covered from | 4 Jan 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 3 · Copay | 1 | 20.00 |
| Total | 20.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000443 | 12 Mar 2026 | 506.00 | MERIDIAN HEALTH PLAN | Not denied | — |