CARLA KUMAR
Subscriber on policy B07M000589
Claims
1
Attributed to this person
Charged
831.00
Total submitted
Denied
408.81
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 | Subscriber |
| Policy | B07M000589 |
| Date of birth | 25 Apr 1965 |
| Plan | BRONZE EPO |
| Covered from | 21 Jun 2024 |
| 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 |
|---|---|---|---|---|---|
| CLM0002488 | 26 Oct 2024 | 831.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 408.81 |