OMAR KUMAR
Dependent on policy B09M000186
Claims
2
Attributed to this person
Charged
647.00
Total submitted
Denied
139.00
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 | OMAR KUMAR |
| Role on the policy | Dependent · relationship 19 |
| Policy | B09M000186 |
| Date of birth | 20 Apr 1981 |
| 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 |
|---|---|---|---|---|---|
| CLM0000782 | 6 Sep 2025 | 139.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 139.00 |
| CLM0000783 | 15 Jun 2025 | 508.00 | MERIDIAN HEALTH PLAN | Not denied | — |