UMA FOSTER
Dependent on policy B07M000004
Claims
3
Attributed to this person
Charged
1,106.00
Total submitted
Denied
0.00
0 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 | UMA FOSTER |
| Role on the policy | Dependent · relationship 19 |
| Policy | B07M000004 |
| Date of birth | 15 Jan 2019 |
| Plan | BRONZE EPO |
| Covered from | 22 Nov 2024 |
| 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 |
|---|---|---|---|---|---|
| CLM0000029 | 6 Oct 2025 | 442.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000031 | 25 Sep 2025 | 106.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000030 | 9 Feb 2025 | 558.00 | NORTHSTAR MUTUAL | Not denied | — |