TOMAS KUMAR
Dependent on policy B05M000502
Claims
2
Attributed to this person
Charged
913.00
Total submitted
Denied
524.00
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 | TOMAS KUMAR |
| Role on the policy | Dependent · relationship 01 |
| Policy | B05M000502 |
| Date of birth | 27 May 1961 |
| Plan | BRONZE EPO |
| Covered from | 23 Jan 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 |
|---|---|---|---|---|---|
| CLM0002158 | 2 Sep 2025 | 524.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 524.00 |
| CLM0002159 | 1 May 2025 | 389.00 | MERIDIAN HEALTH PLAN | Not denied | — |