FIONA KUMAR
Subscriber on policy B09M000274
Claims
3
Attributed to this person
Charged
1,559.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
144.05
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 | FIONA KUMAR |
| Role on the policy | Subscriber |
| Policy | B09M000274 |
| Date of birth | 21 Aug 1983 |
| Plan | BRONZE EPO |
| Covered from | 4 May 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 92.70 |
| CARC 96 · Other | 1 | 51.35 |
| Total | 144.05 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001132 | 9 Jun 2026 | 79.00 | MERIDIAN HEALTH PLAN | CARC 96 · NON_COVERED | 0.00 |
| CLM0001133 | 4 Jun 2026 | 862.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001131 | 5 Mar 2026 | 618.00 | MERIDIAN HEALTH PLAN | Not denied | — |