PRIYA KUMAR
Dependent on policy B10M000734
Claims
2
Attributed to this person
Charged
935.00
Total submitted
Denied
133.16
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 | PRIYA KUMAR |
| Role on the policy | Dependent · relationship 19 |
| Policy | B10M000734 |
| Date of birth | 5 Oct 1986 |
| Plan | SILVER HMO |
| Covered from | 20 Feb 2025 |
| Covered to | 25 Nov 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003083 | 20 Jan 2026 | 593.00 | CASCADE CARE | Not denied | — |
| CLM0003084 | 9 Jun 2025 | 342.00 | CASCADE CARE | CARC 96 · NON_COVERED | 133.16 |