WENDY KUMAR
Subscriber on policy B05M000231
Claims
3
Attributed to this person
Charged
1,057.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
173.55
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 | WENDY KUMAR |
| Role on the policy | Subscriber |
| Policy | B05M000231 |
| Date of birth | 27 Aug 1950 |
| Plan | GOLD PPO |
| Covered from | 5 Oct 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 96 · Other | 1 | 173.55 |
| Total | 173.55 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000957 | 11 Aug 2026 | 550.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000958 | 19 Nov 2025 | 267.00 | MERIDIAN HEALTH PLAN | CARC 96 · NON_COVERED | 0.00 |
| CLM0000956 | 28 Dec 2024 | 240.00 | MERIDIAN HEALTH PLAN | Not denied | — |