JULIA KUMAR
Dependent on policy B05M000293
Claims
1
Attributed to this person
Charged
408.00
Total submitted
Denied
408.00
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 | JULIA KUMAR |
| Role on the policy | Dependent · relationship 19 |
| Policy | B05M000293 |
| Date of birth | 2 Jan 2014 |
| 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 |
|---|---|---|---|---|---|
| CLM0001208 | 15 Jun 2025 | 408.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 408.00 |