ELENA KUMAR
Dependent on policy B01M000098
Claims
2
Attributed to this person
Charged
1,352.00
Total submitted
Denied
705.00
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 | ELENA KUMAR |
| Role on the policy | Dependent · relationship 01 |
| Policy | B01M000098 |
| Date of birth | 9 Mar 1964 |
| 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 |
|---|---|---|---|---|---|
| CLM0000390 | 1 May 2024 | 647.00 | CASCADE CARE | Not denied | — |
| CLM0000391 | 14 Mar 2024 | 705.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 705.00 |