MARCUS FOSTER
Subscriber on policy B06M000534
Claims
1
Attributed to this person
Charged
661.00
Total submitted
Denied
661.00
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 โ 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 | MARCUS FOSTER |
| Role on the policy | Subscriber |
| Policy | B06M000534 |
| Date of birth | 12 Dec 1954 |
| Plan | SILVER HMO |
| Covered from | 21 Aug 2024 |
| Covered to | 7 Nov 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002375 | 21 Oct 2024 | 661.00 | CASCADE CARE | CARC 96 ยท NON_COVERED | 661.00 |