SOFIA KUMAR
Subscriber on policy B09M000472
Claims
1
Attributed to this person
Charged
482.00
Total submitted
Denied
482.00
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 | SOFIA KUMAR |
| Role on the policy | Subscriber |
| Policy | B09M000472 |
| Date of birth | 20 Jan 1994 |
| Plan | SILVER HMO |
| Covered from | 22 May 2025 |
| Covered to | open |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002001 | 30 Apr 2025 | 482.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 482.00 |