AMARA KUMAR
Dependent on policy B09M000431
Claims
2
Attributed to this person
Charged
869.00
Total submitted
Denied
112.00
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 | AMARA KUMAR |
| Role on the policy | Dependent · relationship 19 |
| Policy | B09M000431 |
| Date of birth | 28 Jan 1999 |
| Plan | GOLD PPO |
| Covered from | 27 Jan 2024 |
| Covered to | 17 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 |
|---|---|---|---|---|---|
| CLM0001808 | 4 Sep 2024 | 112.00 | CASCADE CARE | CARC 16 · BILLING_ERROR | 112.00 |
| CLM0001809 | 22 Jun 2024 | 757.00 | CASCADE CARE | Not denied | — |