ELENA FOSTER
Subscriber on policy B08M000488
Claims
3
Attributed to this person
Charged
1,559.00
Total submitted
Denied
670.00
1 denied claims
Patient responsibility
118.35
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 | ELENA FOSTER |
| Role on the policy | Subscriber |
| Policy | B08M000488 |
| Date of birth | 10 Mar 1957 |
| Plan | PLATINUM PPO |
| Covered from | 10 Apr 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 118.35 |
| Total | 118.35 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002258 | 6 Apr 2026 | 789.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002259 | 13 Feb 2026 | 100.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002257 | 20 Nov 2025 | 670.00 | MERIDIAN HEALTH PLAN | CARC 96 · NON_COVERED | 670.00 |