RAVI KUMAR
Dependent on policy B04M000691
Claims
2
Attributed to this person
Charged
405.00
Total submitted
Denied
25.84
1 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 | RAVI KUMAR |
| Role on the policy | Dependent · relationship 19 |
| Policy | B04M000691 |
| Date of birth | 18 Jul 1992 |
| Plan | GOLD PPO |
| Covered from | 9 Jul 2024 |
| 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 |
|---|---|---|---|---|---|
| CLM0003013 | 20 Dec 2025 | 322.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003012 | 5 Jan 2025 | 83.00 | MERIDIAN HEALTH PLAN | CARC 16 · BILLING_ERROR | 25.84 |