IVAN FOSTER
Dependent on policy B08M000255
Claims
3
Attributed to this person
Charged
2,293.00
Total submitted
Denied
866.02
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 | IVAN FOSTER |
| Role on the policy | Dependent · relationship 01 |
| Policy | B08M000255 |
| Date of birth | 9 Aug 1984 |
| Plan | SILVER HMO |
| Covered from | 21 Jun 2024 |
| 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 |
|---|---|---|---|---|---|
| CLM0001155 | 31 Jul 2025 | 781.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001156 | 10 Feb 2025 | 808.00 | NORTHSTAR MUTUAL | CARC 96 · NON_COVERED | 162.02 |
| CLM0001154 | 9 Nov 2024 | 704.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 704.00 |