LEILA KUMAR
Dependent on policy B03M000159
Claims
2
Attributed to this person
Charged
548.00
Total submitted
Denied
50.19
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 | LEILA KUMAR |
| Role on the policy | Dependent · relationship 19 |
| Policy | B03M000159 |
| Date of birth | 15 Oct 2018 |
| Plan | GOLD PPO |
| Covered from | 16 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 |
|---|---|---|---|---|---|
| CLM0000654 | 27 Nov 2025 | 412.00 | CASCADE CARE | Not denied | — |
| CLM0000655 | 18 Oct 2025 | 136.00 | CASCADE CARE | CARC 16 · BILLING_ERROR | 50.19 |