GRACE FOSTER
Subscriber on policy B08M000464
Claims
2
Attributed to this person
Charged
490.00
Total submitted
Denied
74.00
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 | GRACE FOSTER |
| Role on the policy | Subscriber |
| Policy | B08M000464 |
| Date of birth | 27 Mar 1993 |
| Plan | GOLD PPO |
| Covered from | 20 May 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 |
|---|---|---|---|---|---|
| CLM0002134 | 20 Nov 2024 | 416.00 | CASCADE CARE | Not denied | — |
| CLM0002135 | 25 Jun 2024 | 74.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 74.00 |