VICTOR FOSTER
Subscriber on policy B01M000781
Claims
1
Attributed to this person
Charged
566.00
Total submitted
Denied
158.53
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 | VICTOR FOSTER |
| Role on the policy | Subscriber |
| Policy | B01M000781 |
| Date of birth | 29 Dec 1966 |
| Plan | GOLD PPO |
| Covered from | 6 Jun 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 |
|---|---|---|---|---|---|
| CLM0003476 | 28 Jul 2026 | 566.00 | NORTHSTAR MUTUAL | CARC 16 · BILLING_ERROR | 158.53 |