OMAR FOSTER
Dependent on policy B01M000496
Claims
3
Attributed to this person
Charged
1,351.00
Total submitted
Denied
215.00
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 | OMAR FOSTER |
| Role on the policy | Dependent · relationship 19 |
| Policy | B01M000496 |
| Date of birth | 16 Aug 1986 |
| Plan | PLATINUM PPO |
| Covered from | 10 Mar 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 |
|---|---|---|---|---|---|
| CLM0002229 | 9 Feb 2025 | 238.00 | CASCADE CARE | Not denied | — |
| CLM0002231 | 2 Aug 2024 | 215.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 215.00 |
| CLM0002230 | 26 Jul 2024 | 898.00 | CASCADE CARE | Not denied | — |