BRIAN KUMAR
Subscriber on policy B01M000582
Claims
1
Attributed to this person
Charged
288.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
43.20
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 | B01M000582 |
| Date of birth | 25 Sep 1955 |
| Plan | PLATINUM PPO |
| Covered from | 8 Feb 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 43.20 |
| Total | 43.20 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002599 | 24 Jan 2025 | 288.00 | MERIDIAN HEALTH PLAN | Not denied | — |