WENDY KUMAR
Subscriber on policy B02M000104
Claims
3
Attributed to this person
Charged
1,201.00
Total submitted
Denied
41.80
1 denied claims
Patient responsibility
50.20
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 | WENDY KUMAR |
| Role on the policy | Subscriber |
| Policy | B02M000104 |
| Date of birth | 23 Jan 1953 |
| Plan | PLATINUM PPO |
| Covered from | 20 Nov 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 50.20 |
| Total | 50.20 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000468 | 5 Aug 2026 | 165.00 | MERIDIAN HEALTH PLAN | CARC 197 · AUTHORIZATION | 41.80 |
| CLM0000466 | 11 Aug 2025 | 785.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000467 | 11 Jan 2025 | 251.00 | MERIDIAN HEALTH PLAN | Not denied | — |