NADIA FOSTER
Dependent on policy B06M000135
Claims
3
Attributed to this person
Charged
1,807.00
Total submitted
Denied
22.79
1 denied claims
Patient responsibility
50.00
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 | NADIA FOSTER |
| Role on the policy | Dependent · relationship 01 |
| Policy | B06M000135 |
| Date of birth | 22 Jan 1975 |
| Plan | SILVER HMO |
| Covered from | 26 Jul 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 3 · Copay | 1 | 50.00 |
| Total | 50.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000658 | 26 Apr 2026 | 850.00 | NORTHSTAR MUTUAL | CARC 50 · MEDICAL_NECESSITY | 22.79 |
| CLM0000657 | 12 Mar 2025 | 398.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000656 | 8 Jul 2024 | 559.00 | NORTHSTAR MUTUAL | Not denied | — |