JULIA FOSTER
Dependent on policy B01M000245
Claims
2
Attributed to this person
Charged
1,395.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
252.25
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 | JULIA FOSTER |
| Role on the policy | Dependent · relationship 19 |
| Policy | B01M000245 |
| Date of birth | 9 Feb 2015 |
| 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 | 172.00 |
| CARC 1 · Deductible | 1 | 80.25 |
| Total | 252.25 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001042 | 13 Mar 2026 | 860.00 | CASCADE CARE | Not denied | — |
| CLM0001041 | 17 Mar 2025 | 535.00 | CASCADE CARE | Not denied | — |