DenialIntel

Demo Environment — Synthetic Data OnlyThis application contains synthetic demonstration data only. Do not enter or submit patient information (PHI) or other sensitive personal information.
Members›policy B06M000493›CARLA KUMAR

CARLA KUMAR

Dependent on policy B06M000493

Claims
2
Attributed to this person
Charged
724.00
Total submitted
Denied
0.00
0 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

FieldValue
NameCARLA KUMAR
Role on the policyDependent · relationship 01
PolicyB06M000493
Date of birth4 Mar 1983
PlanPLATINUM PPO
Covered from23 Oct 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000221128 Jan 2026469.00MERIDIAN HEALTH PLANNot denied—
CLM00022109 Jun 2025255.00MERIDIAN HEALTH PLANNot denied—