KEVIN KUMAR
Dependent on policy B10M000779
Claims
2
Attributed to this person
Charged
204.00
Total submitted
Denied
62.00
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 | KEVIN KUMAR |
| Role on the policy | Dependent · relationship 19 |
| Policy | B10M000779 |
| Date of birth | 1 Aug 1977 |
| 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 |
|---|---|---|---|---|---|
| CLM0003279 | 11 Dec 2024 | 62.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 62.00 |
| CLM0003280 | 13 Sep 2024 | 142.00 | MERIDIAN HEALTH PLAN | Not denied | — |