SOFIA KUMAR
Dependent on policy B03M000016
Claims
3
Attributed to this person
Charged
1,527.00
Total submitted
Denied
168.93
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 | SOFIA KUMAR |
| Role on the policy | Dependent · relationship 19 |
| Policy | B03M000016 |
| Date of birth | 24 Nov 2007 |
| Plan | GOLD PPO |
| Covered from | 18 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 |
|---|---|---|---|---|---|
| CLM0000080 | 5 Aug 2026 | 486.00 | CASCADE CARE | Not denied | — |
| CLM0000081 | 29 Sep 2025 | 215.00 | CASCADE CARE | Not denied | — |
| CLM0000079 | 10 Aug 2024 | 826.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 168.93 |