RAVI KUMAR
Dependent on policy B10M000779
Claims
3
Attributed to this person
Charged
1,743.00
Total submitted
Denied
802.00
1 denied claims
Patient responsibility
91.65
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 | RAVI KUMAR |
| Role on the policy | Dependent · relationship 01 |
| Policy | B10M000779 |
| Date of birth | 7 Nov 1951 |
| Plan | SILVER HMO |
| Covered from | 10 Jul 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 91.65 |
| Total | 91.65 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003278 | 19 Mar 2025 | 802.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 802.00 |
| CLM0003276 | 11 Mar 2025 | 330.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003277 | 13 Sep 2024 | 611.00 | MERIDIAN HEALTH PLAN | Not denied | — |