KEVIN FOSTER
Dependent on policy B01M000245
Claims
2
Attributed to this person
Charged
797.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
13.40
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 | KEVIN FOSTER |
| Role on the policy | Dependent · relationship 01 |
| Policy | B01M000245 |
| Date of birth | 10 Jun 1994 |
| Plan | PLATINUM PPO |
| Covered from | 21 Mar 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 13.40 |
| Total | 13.40 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001039 | 29 Jul 2026 | 730.00 | CASCADE CARE | Not denied | — |
| CLM0001040 | 1 Jul 2025 | 67.00 | CASCADE CARE | Not denied | — |