WENDY KUMAR
Subscriber on policy B07M000497
Claims
3
Attributed to this person
Charged
1,249.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
480.35
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 | WENDY KUMAR |
| Role on the policy | Subscriber |
| Policy | B07M000497 |
| Date of birth | 4 May 1968 |
| Plan | BRONZE EPO |
| Covered from | 29 Dec 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 50 · Other | 1 | 480.35 |
| Total | 480.35 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002118 | 20 Jul 2026 | 227.00 | CASCADE CARE | Not denied | — |
| CLM0002119 | 23 Feb 2026 | 739.00 | CASCADE CARE | CARC 50 · MEDICAL_NECESSITY | 0.00 |
| CLM0002120 | 24 Aug 2025 | 283.00 | CASCADE CARE | Not denied | — |