VICTOR FOSTER
Subscriber on policy B09M000284
Claims
3
Attributed to this person
Charged
1,853.00
Total submitted
Denied
1,196.00
2 denied claims
Patient responsibility
98.55
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 | VICTOR FOSTER |
| Role on the policy | Subscriber |
| Policy | B09M000284 |
| Date of birth | 5 Apr 1971 |
| Plan | PLATINUM PPO |
| Covered from | 9 Jan 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 98.55 |
| Total | 98.55 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001170 | 26 Apr 2026 | 879.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 879.00 |
| CLM0001171 | 24 Mar 2026 | 657.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001169 | 20 Apr 2024 | 317.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 317.00 |