ZARA KUMAR
Subscriber on policy B02M000137
Claims
1
Attributed to this person
Charged
650.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
97.50
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 | ZARA KUMAR |
| Role on the policy | Subscriber |
| Policy | B02M000137 |
| Date of birth | 17 Nov 1951 |
| Plan | GOLD PPO |
| Covered from | 5 Jan 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 97.50 |
| Total | 97.50 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000620 | 4 Jul 2026 | 650.00 | MERIDIAN HEALTH PLAN | Not denied | — |