CARLA FOSTER
Subscriber on policy B08M000277
Claims
2
Attributed to this person
Charged
1,048.00
Total submitted
Denied
750.00
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 | CARLA FOSTER |
| Role on the policy | Subscriber |
| Policy | B08M000277 |
| Date of birth | 26 Nov 1988 |
| Plan | SILVER HMO |
| Covered from | 8 Apr 2024 |
| Covered to | 17 Jan 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001260 | 6 Aug 2024 | 298.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001261 | 18 Jun 2024 | 750.00 | NORTHSTAR MUTUAL | CARC 29 · TIMELY_FILING | 750.00 |