DAVID FOSTER
Subscriber on policy B07M000563
Claims
1
Attributed to this person
Charged
682.00
Total submitted
Denied
283.75
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 — 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 | DAVID FOSTER |
| Role on the policy | Subscriber |
| Policy | B07M000563 |
| Date of birth | 27 Apr 1996 |
| Plan | PLATINUM PPO |
| Covered from | 28 Apr 2025 |
| Covered to | open |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002386 | 25 Dec 2025 | 682.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 283.75 |