GRACE KUMAR
Dependent on policy B03M000296
Claims
3
Attributed to this person
Charged
1,264.00
Total submitted
Denied
300.36
1 denied claims
Patient responsibility
0.00
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 | GRACE KUMAR |
| Role on the policy | Dependent · relationship 19 |
| Policy | B03M000296 |
| Date of birth | 24 Jun 2005 |
| Plan | GOLD PPO |
| Covered from | 20 Apr 2024 |
| Covered to | open |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001187 | 8 Jul 2026 | 673.00 | MERIDIAN HEALTH PLAN | CARC 18 · DUPLICATE | 300.36 |
| CLM0001188 | 4 Jul 2026 | 173.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001186 | 25 Aug 2024 | 418.00 | MERIDIAN HEALTH PLAN | Not denied | — |