RAVI KUMAR
Subscriber on policy B01M000098
Claims
1
Attributed to this person
Charged
696.00
Total submitted
Denied
696.00
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 | RAVI KUMAR |
| Role on the policy | Subscriber |
| Policy | B01M000098 |
| Date of birth | 27 Dec 1967 |
| Plan | BRONZE EPO |
| Covered from | 26 Mar 2024 |
| Covered to | 6 Jul 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000389 | 19 Jul 2024 | 696.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 696.00 |