GRACE KUMAR
Subscriber on policy B05M000034
Claims
3
Attributed to this person
Charged
1,567.00
Total submitted
Denied
117.00
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 | GRACE KUMAR |
| Role on the policy | Subscriber |
| Policy | B05M000034 |
| Date of birth | 19 Sep 1987 |
| Plan | BRONZE EPO |
| Covered from | 29 May 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0000151 | 10 Jan 2026 | 117.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 117.00 |
| CLM0000150 | 21 Aug 2025 | 869.00 | CASCADE CARE | Not denied | — |
| CLM0000152 | 18 Aug 2025 | 581.00 | CASCADE CARE | Not denied | — |