OMAR KUMAR
Subscriber on policy B01M000894
Claims
3
Attributed to this person
Charged
1,593.00
Total submitted
Denied
775.00
1 denied claims
Patient responsibility
47.10
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 | OMAR KUMAR |
| Role on the policy | Subscriber |
| Policy | B01M000894 |
| Date of birth | 13 Jan 1999 |
| Plan | PLATINUM PPO |
| Covered from | 14 Sep 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 47.10 |
| Total | 47.10 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003954 | 2 May 2026 | 775.00 | MERIDIAN HEALTH PLAN | CARC 18 · DUPLICATE | 775.00 |
| CLM0003953 | 26 Dec 2025 | 314.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003955 | 16 Sep 2024 | 504.00 | MERIDIAN HEALTH PLAN | Not denied | — |