VICTOR FOSTER
Dependent on policy B07M000550
Claims
3
Attributed to this person
Charged
998.00
Total submitted
Denied
108.00
1 denied claims
Patient responsibility
24.80
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 | VICTOR FOSTER |
| Role on the policy | Dependent · relationship 19 |
| Policy | B07M000550 |
| Date of birth | 28 Jun 2021 |
| Plan | PLATINUM PPO |
| Covered from | 14 Feb 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 24.80 |
| Total | 24.80 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002335 | 22 Jul 2026 | 108.00 | MERIDIAN HEALTH PLAN | CARC 197 · AUTHORIZATION | 108.00 |
| CLM0002337 | 27 Dec 2025 | 766.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002336 | 4 Apr 2024 | 124.00 | MERIDIAN HEALTH PLAN | Not denied | — |