ELENA KUMAR
Subscriber on policy B10M000657
Claims
3
Attributed to this person
Charged
977.00
Total submitted
Denied
781.00
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 | ELENA KUMAR |
| Role on the policy | Subscriber |
| Policy | B10M000657 |
| Date of birth | 10 Sep 1976 |
| Plan | GOLD PPO |
| Covered from | 1 Mar 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0002722 | 13 Jul 2026 | 196.00 | CASCADE CARE | Not denied | — |
| CLM0002723 | 13 Jun 2026 | 614.00 | CASCADE CARE | CARC 18 · DUPLICATE | 614.00 |
| CLM0002724 | 20 Feb 2025 | 167.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 167.00 |