JULIA KUMAR
Dependent on policy B03M000159
Claims
3
Attributed to this person
Charged
977.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
12.80
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 | JULIA KUMAR |
| Role on the policy | Dependent · relationship 01 |
| Policy | B03M000159 |
| Date of birth | 11 Jun 2008 |
| Plan | GOLD PPO |
| Covered from | 16 Apr 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 12.80 |
| Total | 12.80 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000651 | 2 Nov 2025 | 64.00 | CASCADE CARE | Not denied | — |
| CLM0000649 | 13 May 2025 | 535.00 | CASCADE CARE | Not denied | — |
| CLM0000650 | 14 Apr 2025 | 378.00 | CASCADE CARE | Not denied | — |