UMA KUMAR
Dependent on policy B08M000743
Claims
3
Attributed to this person
Charged
1,796.00
Total submitted
Denied
203.03
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 | UMA KUMAR |
| Role on the policy | Dependent · relationship 19 |
| Policy | B08M000743 |
| Date of birth | 28 Aug 2005 |
| Plan | GOLD PPO |
| Covered from | 18 Jun 2024 |
| Covered to | 2 Oct 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 |
|---|---|---|---|---|---|
| CLM0003330 | 3 Sep 2024 | 691.00 | CASCADE CARE | CARC 109 · COB | 203.03 |
| CLM0003332 | 21 Jul 2024 | 859.00 | CASCADE CARE | Not denied | — |
| CLM0003331 | 1 Jul 2024 | 246.00 | CASCADE CARE | Not denied | — |