IVAN KUMAR
Subscriber on policy B03M000445
Claims
3
Attributed to this person
Charged
1,542.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
292.50
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 | IVAN KUMAR |
| Role on the policy | Subscriber |
| Policy | B03M000445 |
| Date of birth | 1 Sep 1951 |
| Plan | PLATINUM PPO |
| Covered from | 3 Oct 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 96 · Other | 1 | 292.50 |
| Total | 292.50 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001834 | 27 Jan 2026 | 450.00 | CASCADE CARE | CARC 96 · NON_COVERED | 0.00 |
| CLM0001833 | 17 Dec 2025 | 431.00 | CASCADE CARE | Not denied | — |
| CLM0001835 | 2 Mar 2025 | 661.00 | CASCADE CARE | Not denied | — |