LEILA KUMAR
Dependent on policy B10M000038
Claims
3
Attributed to this person
Charged
872.00
Total submitted
Denied
289.00
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 | LEILA KUMAR |
| Role on the policy | Dependent · relationship 19 |
| Policy | B10M000038 |
| Date of birth | 4 Jul 2022 |
| Plan | PLATINUM PPO |
| Covered from | 3 May 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 |
|---|---|---|---|---|---|
| CLM0000150 | 17 Jun 2026 | 314.00 | CASCADE CARE | Not denied | — |
| CLM0000151 | 1 Sep 2025 | 289.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 289.00 |
| CLM0000152 | 14 Aug 2024 | 269.00 | CASCADE CARE | Not denied | — |