FIONA KUMAR
Dependent on policy B02M000137
Claims
3
Attributed to this person
Charged
1,679.00
Total submitted
Denied
571.00
1 denied claims
Patient responsibility
79.40
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 | FIONA KUMAR |
| Role on the policy | Dependent · relationship 19 |
| Policy | B02M000137 |
| Date of birth | 20 Aug 1991 |
| Plan | GOLD PPO |
| Covered from | 5 Jan 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 79.40 |
| Total | 79.40 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000624 | 8 Jul 2026 | 711.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000623 | 15 Dec 2025 | 397.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000625 | 4 Apr 2025 | 571.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 571.00 |