YUSUF KUMAR
Dependent on policy B04M000067
Claims
3
Attributed to this person
Charged
1,484.00
Total submitted
Denied
187.00
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 | YUSUF KUMAR |
| Role on the policy | Dependent · relationship 01 |
| Policy | B04M000067 |
| Date of birth | 10 Dec 1969 |
| Plan | BRONZE EPO |
| Covered from | 2 Jan 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 |
|---|---|---|---|---|---|
| CLM0000300 | 3 Jun 2026 | 573.00 | CASCADE CARE | Not denied | — |
| CLM0000298 | 25 Nov 2025 | 187.00 | CASCADE CARE | CARC 96 · NON_COVERED | 187.00 |
| CLM0000299 | 20 Jun 2024 | 724.00 | CASCADE CARE | Not denied | — |