RAVI FOSTER
Subscriber on policy B07M000262
Claims
2
Attributed to this person
Charged
1,112.00
Total submitted
Denied
571.57
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 | RAVI FOSTER |
| Role on the policy | Subscriber |
| Policy | B07M000262 |
| Date of birth | 23 Jun 1978 |
| Plan | GOLD PPO |
| Covered from | 9 Jan 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 |
|---|---|---|---|---|---|
| CLM0001121 | 18 Apr 2025 | 749.00 | NORTHSTAR MUTUAL | CARC 29 · TIMELY_FILING | 208.57 |
| CLM0001120 | 16 Dec 2024 | 363.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 363.00 |