BRIAN FOSTER
Dependent on policy B07M000326
Claims
2
Attributed to this person
Charged
582.00
Total submitted
Denied
124.00
1 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 | BRIAN FOSTER |
| Role on the policy | Dependent · relationship 01 |
| Policy | B07M000326 |
| Date of birth | 3 Feb 1947 |
| Plan | BRONZE EPO |
| Covered from | 18 Jul 2024 |
| Covered to | 12 Oct 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001397 | 29 Oct 2024 | 124.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 124.00 |
| CLM0001396 | 12 Sep 2024 | 458.00 | NORTHSTAR MUTUAL | Not denied | — |