ZARA KUMAR
Dependent on policy B03M000800
Claims
2
Attributed to this person
Charged
549.00
Total submitted
Denied
223.00
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 | ZARA KUMAR |
| Role on the policy | Dependent · relationship 19 |
| Policy | B03M000800 |
| Date of birth | 8 Aug 2023 |
| Plan | PLATINUM PPO |
| Covered from | 1 Jan 2025 |
| Covered to | 27 Jul 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003430 | 13 Feb 2025 | 223.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 223.00 |
| CLM0003429 | 29 Dec 2024 | 326.00 | MERIDIAN HEALTH PLAN | Not denied | — |