LEILA KUMAR
Dependent on policy B05M000293
Claims
1
Attributed to this person
Charged
862.00
Total submitted
Denied
0.00
0 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 | LEILA KUMAR |
| Role on the policy | Dependent · relationship 01 |
| Policy | B05M000293 |
| Date of birth | 18 Jul 1962 |
| Plan | BRONZE EPO |
| Covered from | 16 Aug 2024 |
| Covered to | 30 Apr 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 |
|---|---|---|---|---|---|
| CLM0001207 | 20 Dec 2024 | 862.00 | MERIDIAN HEALTH PLAN | Not denied | — |