MARCUS FOSTER
Dependent on policy B07M000262
Claims
2
Attributed to this person
Charged
1,323.00
Total submitted
Denied
485.00
1 denied claims
Patient responsibility
20.00
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 | MARCUS FOSTER |
| Role on the policy | Dependent · relationship 19 |
| Policy | B07M000262 |
| Date of birth | 23 Sep 1998 |
| Plan | GOLD PPO |
| Covered from | 9 Jan 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 3 · Copay | 1 | 20.00 |
| Total | 20.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001127 | 8 Oct 2025 | 485.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 485.00 |
| CLM0001128 | 14 Jan 2025 | 838.00 | NORTHSTAR MUTUAL | Not denied | — |