WENDY KUMAR
Dependent on policy B08M000807
Claims
2
Attributed to this person
Charged
765.00
Total submitted
Denied
474.00
1 denied claims
Patient responsibility
43.65
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 | Dependent · relationship 19 |
| Policy | B08M000807 |
| Date of birth | 22 Jun 2003 |
| Plan | PLATINUM PPO |
| Covered from | 26 Feb 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 43.65 |
| Total | 43.65 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003608 | 5 Apr 2025 | 291.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003609 | 1 Mar 2024 | 474.00 | MERIDIAN HEALTH PLAN | CARC 197 · AUTHORIZATION | 474.00 |