DAVID KUMAR
Subscriber on policy B05M000539
Claims
1
Attributed to this person
Charged
681.00
Total submitted
Denied
681.00
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 | DAVID KUMAR |
| Role on the policy | Subscriber |
| Policy | B05M000539 |
| Date of birth | 28 Dec 1957 |
| Plan | PLATINUM PPO |
| Covered from | 19 Jul 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 |
|---|---|---|---|---|---|
| CLM0002295 | 30 Jun 2026 | 681.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 681.00 |