VICTOR FOSTER
Subscriber on policy B07M000228
Claims
3
Attributed to this person
Charged
1,475.00
Total submitted
Denied
330.92
1 denied claims
Patient responsibility
110.20
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 | B07M000228 |
| Date of birth | 1 Oct 1955 |
| Plan | PLATINUM PPO |
| Covered from | 28 Jan 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 110.20 |
| Total | 110.20 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000965 | 27 Apr 2026 | 116.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000964 | 21 Apr 2025 | 551.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000963 | 19 Feb 2025 | 808.00 | NORTHSTAR MUTUAL | CARC 11 · CODING | 330.92 |