BRIAN KUMAR
Subscriber on policy B02M000852
Claims
3
Attributed to this person
Charged
1,641.00
Total submitted
Denied
210.00
2 denied claims
Patient responsibility
481.65
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 | BRIAN KUMAR |
| Role on the policy | Subscriber |
| Policy | B02M000852 |
| Date of birth | 19 Jan 1967 |
| Plan | BRONZE EPO |
| Covered from | 22 Mar 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 50 · Other | 1 | 481.65 |
| Total | 481.65 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003546 | 20 Dec 2025 | 210.00 | CASCADE CARE | CARC 11 · CODING | 210.00 |
| CLM0003545 | 5 Jul 2024 | 741.00 | CASCADE CARE | CARC 50 · MEDICAL_NECESSITY | 0.00 |
| CLM0003544 | 20 Apr 2024 | 690.00 | CASCADE CARE | Not denied | — |