OMAR FOSTER
Dependent on policy B07M000738
Claims
2
Attributed to this person
Charged
632.00
Total submitted
Denied
632.00
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 | OMAR FOSTER |
| Role on the policy | Dependent · relationship 19 |
| Policy | B07M000738 |
| Date of birth | 25 Nov 2022 |
| Plan | PLATINUM PPO |
| Covered from | 1 May 2025 |
| Covered to | 23 Sep 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003050 | 30 Jun 2025 | 156.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 156.00 |
| CLM0003049 | 9 May 2025 | 476.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 476.00 |