ELENA KUMAR
Subscriber on policy B05M000224
Claims
2
Attributed to this person
Charged
1,477.00
Total submitted
Denied
580.00
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 | ELENA KUMAR |
| Role on the policy | Subscriber |
| Policy | B05M000224 |
| Date of birth | 9 Jun 1998 |
| Plan | SILVER HMO |
| Covered from | 11 Oct 2024 |
| Covered to | 6 Mar 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 |
|---|---|---|---|---|---|
| CLM0000928 | 29 Nov 2024 | 897.00 | CASCADE CARE | Not denied | — |
| CLM0000927 | 20 Sep 2024 | 580.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 580.00 |