UMA FOSTER
Dependent on policy B09M000438
Claims
2
Attributed to this person
Charged
1,018.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
344.50
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 | UMA FOSTER |
| Role on the policy | Dependent · relationship 01 |
| Policy | B09M000438 |
| Date of birth | 24 Jun 1956 |
| Plan | PLATINUM PPO |
| Covered from | 17 Aug 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 50 · Other | 1 | 344.50 |
| Total | 344.50 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001834 | 1 Jan 2026 | 488.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001835 | 25 Jul 2025 | 530.00 | MERIDIAN HEALTH PLAN | CARC 50 · MEDICAL_NECESSITY | 0.00 |