BRIAN KUMAR
Subscriber on policy B10M000577
Claims
1
Attributed to this person
Charged
267.00
Total submitted
Denied
267.00
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 | BRIAN KUMAR |
| Role on the policy | Subscriber |
| Policy | B10M000577 |
| Date of birth | 23 Sep 1966 |
| Plan | PLATINUM PPO |
| Covered from | 1 May 2024 |
| Covered to | 25 Oct 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002399 | 7 Aug 2024 | 267.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 267.00 |