MARCUS KUMAR
Dependent on policy B05M000025
Claims
2
Attributed to this person
Charged
851.00
Total submitted
Denied
63.00
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 | MARCUS KUMAR |
| Role on the policy | Dependent · relationship 19 |
| Policy | B05M000025 |
| Date of birth | 16 Jul 1992 |
| Plan | GOLD PPO |
| Covered from | 4 Jun 2024 |
| Covered to | 27 Mar 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 |
|---|---|---|---|---|---|
| CLM0000115 | 5 May 2025 | 63.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 63.00 |
| CLM0000114 | 11 Feb 2025 | 788.00 | MERIDIAN HEALTH PLAN | Not denied | — |