KEVIN KUMAR
Subscriber on policy B05M000528
Claims
1
Attributed to this person
Charged
362.00
Total submitted
Denied
362.00
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 | B05M000528 |
| Date of birth | 7 Jul 1986 |
| Plan | GOLD PPO |
| Covered from | 14 Aug 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 |
|---|---|---|---|---|---|
| CLM0002255 | 28 Mar 2025 | 362.00 | CASCADE CARE | CARC 11 · CODING | 362.00 |