CARLA KUMAR
Dependent on policy B04M000847
Claims
2
Attributed to this person
Charged
651.00
Total submitted
Denied
651.00
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 | CARLA KUMAR |
| Role on the policy | Dependent · relationship 19 |
| Policy | B04M000847 |
| Date of birth | 26 Sep 2008 |
| Plan | PLATINUM PPO |
| Covered from | 10 Jan 2025 |
| Covered to | 12 Sep 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003658 | 19 Sep 2025 | 83.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 83.00 |
| CLM0003657 | 20 Jun 2025 | 568.00 | MERIDIAN HEALTH PLAN | CARC 197 · AUTHORIZATION | 568.00 |