CARLA KUMAR
Dependent on policy B07M000109
Claims
2
Attributed to this person
Charged
764.00
Total submitted
Denied
375.00
1 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 | CARLA KUMAR |
| Role on the policy | Dependent · relationship 19 |
| Policy | B07M000109 |
| Date of birth | 12 Aug 2009 |
| Plan | BRONZE EPO |
| Covered from | 4 Jan 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0000447 | 25 Mar 2026 | 389.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000448 | 5 Dec 2024 | 375.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 375.00 |