HENRY KUMAR
Dependent on policy B04M000304
Claims
3
Attributed to this person
Charged
2,003.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
141.80
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 | HENRY KUMAR |
| Role on the policy | Dependent · relationship 19 |
| Policy | B04M000304 |
| Date of birth | 28 Aug 1993 |
| Plan | SILVER HMO |
| Covered from | 20 Sep 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 141.80 |
| Total | 141.80 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001329 | 20 Feb 2026 | 404.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001331 | 16 Nov 2025 | 709.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001330 | 10 Feb 2025 | 890.00 | MERIDIAN HEALTH PLAN | Not denied | — |