WENDY KUMAR
Dependent on policy B01M000128
Claims
2
Attributed to this person
Charged
616.00
Total submitted
Denied
458.00
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 | WENDY KUMAR |
| Role on the policy | Dependent · relationship 19 |
| Policy | B01M000128 |
| Date of birth | 30 Nov 2013 |
| Plan | SILVER HMO |
| Covered from | 22 Apr 2024 |
| Covered to | 16 Jan 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 |
|---|---|---|---|---|---|
| CLM0000516 | 14 Sep 2024 | 458.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 458.00 |
| CLM0000515 | 25 Apr 2024 | 158.00 | MERIDIAN HEALTH PLAN | Not denied | — |