ZARA FOSTER
Subscriber on policy B06M000794
Claims
2
Attributed to this person
Charged
658.00
Total submitted
Denied
658.00
2 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 | ZARA FOSTER |
| Role on the policy | Subscriber |
| Policy | B06M000794 |
| Date of birth | 25 Sep 1970 |
| Plan | GOLD PPO |
| Covered from | 9 May 2024 |
| Covered to | 30 Dec 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 |
|---|---|---|---|---|---|
| CLM0003491 | 28 Feb 2025 | 471.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 471.00 |
| CLM0003490 | 23 Jul 2024 | 187.00 | CASCADE CARE | CARC 96 · NON_COVERED | 187.00 |