FIONA KUMAR
Subscriber on policy B04M000645
Claims
3
Attributed to this person
Charged
783.00
Total submitted
Denied
627.00
2 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 | FIONA KUMAR |
| Role on the policy | Subscriber |
| Policy | B04M000645 |
| Date of birth | 27 Apr 2001 |
| Plan | GOLD PPO |
| Covered from | 26 May 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0002802 | 25 Sep 2025 | 202.00 | MERIDIAN HEALTH PLAN | CARC 16 · BILLING_ERROR | 202.00 |
| CLM0002804 | 6 Jun 2025 | 156.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002803 | 17 May 2025 | 425.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 425.00 |