HENRY KUMAR
Dependent on policy B09M000186
Claims
3
Attributed to this person
Charged
933.00
Total submitted
Denied
601.00
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 | HENRY KUMAR |
| Role on the policy | Dependent · relationship 01 |
| Policy | B09M000186 |
| Date of birth | 13 Nov 1947 |
| Plan | GOLD PPO |
| Covered from | 25 Jan 2025 |
| Covered to | 19 Jul 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000780 | 30 Apr 2025 | 186.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000781 | 30 Jan 2025 | 601.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 601.00 |
| CLM0000779 | 25 Jan 2025 | 146.00 | MERIDIAN HEALTH PLAN | Not denied | — |