KEVIN KUMAR
Subscriber on policy B05M000449
Claims
2
Attributed to this person
Charged
609.00
Total submitted
Denied
300.00
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 | KEVIN KUMAR |
| Role on the policy | Subscriber |
| Policy | B05M000449 |
| Date of birth | 28 Jan 1956 |
| Plan | PLATINUM PPO |
| Covered from | 11 Apr 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 |
|---|---|---|---|---|---|
| CLM0001884 | 28 May 2024 | 300.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 300.00 |
| CLM0001885 | 20 Mar 2024 | 309.00 | CASCADE CARE | Not denied | — |