PRIYA KUMAR
Subscriber on policy B07M000712
Claims
3
Attributed to this person
Charged
954.00
Total submitted
Denied
735.00
2 denied claims
Patient responsibility
43.80
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 | PRIYA KUMAR |
| Role on the policy | Subscriber |
| Policy | B07M000712 |
| Date of birth | 19 Jun 1993 |
| Plan | BRONZE EPO |
| Covered from | 18 Feb 2024 |
| Covered to | 3 Jun 2024 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 43.80 |
| Total | 43.80 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002945 | 22 Jul 2024 | 423.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 423.00 |
| CLM0002943 | 20 Jul 2024 | 312.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 312.00 |
| CLM0002944 | 11 Feb 2024 | 219.00 | MERIDIAN HEALTH PLAN | Not denied | — |