IVAN FOSTER
Subscriber on policy B08M000650
Claims
3
Attributed to this person
Charged
1,449.00
Total submitted
Denied
457.00
1 denied claims
Patient responsibility
70.80
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 | IVAN FOSTER |
| Role on the policy | Subscriber |
| Policy | B08M000650 |
| Date of birth | 6 Aug 1956 |
| Plan | GOLD PPO |
| Covered from | 1 Mar 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 70.80 |
| Total | 70.80 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002944 | 24 May 2026 | 457.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 457.00 |
| CLM0002943 | 7 Oct 2025 | 354.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002942 | 29 Aug 2024 | 638.00 | MERIDIAN HEALTH PLAN | Not denied | — |