HENRY FOSTER
Subscriber on policy B06M000766
Claims
1
Attributed to this person
Charged
635.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
95.25
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 | HENRY FOSTER |
| Role on the policy | Subscriber |
| Policy | B06M000766 |
| Date of birth | 26 Aug 1963 |
| Plan | SILVER HMO |
| Covered from | 27 Apr 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 95.25 |
| Total | 95.25 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003384 | 11 Jan 2026 | 635.00 | NORTHSTAR MUTUAL | Not denied | — |