IVAN KUMAR
Dependent on policy B01M000433
Claims
3
Attributed to this person
Charged
1,455.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
475.15
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 | IVAN KUMAR |
| Role on the policy | Dependent · relationship 01 |
| Policy | B01M000433 |
| Date of birth | 7 Feb 1991 |
| Plan | PLATINUM PPO |
| Covered from | 7 Mar 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 50 · Other | 1 | 475.15 |
| Total | 475.15 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001907 | 23 Mar 2026 | 731.00 | MERIDIAN HEALTH PLAN | CARC 50 · MEDICAL_NECESSITY | 0.00 |
| CLM0001908 | 28 Jun 2025 | 531.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001909 | 9 Jun 2025 | 193.00 | MERIDIAN HEALTH PLAN | Not denied | — |