CARLA KUMAR
Dependent on policy B01M000755
Claims
3
Attributed to this person
Charged
1,601.00
Total submitted
Denied
788.00
1 denied claims
Patient responsibility
96.00
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 | CARLA KUMAR |
| Role on the policy | Dependent · relationship 19 |
| Policy | B01M000755 |
| Date of birth | 8 Jun 1984 |
| Plan | BRONZE EPO |
| Covered from | 2 Feb 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 96.00 |
| Total | 96.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003364 | 13 Mar 2026 | 788.00 | MERIDIAN HEALTH PLAN | CARC 50 · MEDICAL_NECESSITY | 788.00 |
| CLM0003362 | 20 Nov 2025 | 333.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003363 | 31 Aug 2025 | 480.00 | MERIDIAN HEALTH PLAN | Not denied | — |