LEILA KUMAR
Dependent on policy B01M000063
Claims
2
Attributed to this person
Charged
885.00
Total submitted
Denied
570.98
2 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 | LEILA KUMAR |
| Role on the policy | Dependent · relationship 01 |
| Policy | B01M000063 |
| Date of birth | 21 Jun 1964 |
| Plan | BRONZE EPO |
| Covered from | 3 Jun 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 |
|---|---|---|---|---|---|
| CLM0000268 | 12 Dec 2025 | 421.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 106.98 |
| CLM0000269 | 16 May 2025 | 464.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 464.00 |