GRACE KUMAR
Subscriber on policy B10M000649
Claims
2
Attributed to this person
Charged
510.00
Total submitted
Denied
373.86
2 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 | GRACE KUMAR |
| Role on the policy | Subscriber |
| Policy | B10M000649 |
| Date of birth | 19 May 2001 |
| Plan | SILVER HMO |
| Covered from | 10 Jul 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 |
|---|---|---|---|---|---|
| CLM0002681 | 9 Mar 2026 | 221.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 84.86 |
| CLM0002682 | 3 Mar 2025 | 289.00 | MERIDIAN HEALTH PLAN | CARC 11 · CODING | 289.00 |