TOMAS KUMAR
Subscriber on policy B10M000251
Claims
2
Attributed to this person
Charged
690.00
Total submitted
Denied
348.00
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 | TOMAS KUMAR |
| Role on the policy | Subscriber |
| Policy | B10M000251 |
| Date of birth | 12 Sep 1952 |
| Plan | SILVER HMO |
| Covered from | 31 Aug 2024 |
| 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 |
|---|---|---|---|---|---|
| CLM0001031 | 1 Aug 2026 | 342.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001030 | 17 Aug 2024 | 348.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 348.00 |