IVAN KUMAR
Dependent on policy B04M000465
Claims
1
Attributed to this person
Charged
736.00
Total submitted
Denied
281.04
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 | IVAN KUMAR |
| Role on the policy | Dependent · relationship 01 |
| Policy | B04M000465 |
| Date of birth | 12 Sep 1970 |
| Plan | SILVER HMO |
| Covered from | 25 Apr 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 |
|---|---|---|---|---|---|
| CLM0001991 | 4 Aug 2025 | 736.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 281.04 |