AMARA FOSTER
Subscriber on policy B08M000009
Claims
3
Attributed to this person
Charged
894.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
23.20
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 | AMARA FOSTER |
| Role on the policy | Subscriber |
| Policy | B08M000009 |
| Date of birth | 27 Apr 1982 |
| Plan | GOLD PPO |
| Covered from | 16 Sep 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 23.20 |
| Total | 23.20 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000040 | 1 Jul 2026 | 224.00 | CASCADE CARE | Not denied | — |
| CLM0000041 | 13 Oct 2024 | 554.00 | CASCADE CARE | Not denied | — |
| CLM0000039 | 10 Sep 2024 | 116.00 | CASCADE CARE | Not denied | — |