OMAR FOSTER
Subscriber on policy B09M000895
Claims
3
Attributed to this person
Charged
1,616.00
Total submitted
Denied
287.00
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 | Subscriber |
| Policy | B09M000895 |
| Date of birth | 28 Aug 1971 |
| Plan | BRONZE EPO |
| Covered from | 24 Apr 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 |
|---|---|---|---|---|---|
| CLM0003824 | 16 Apr 2025 | 287.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 287.00 |
| CLM0003822 | 13 Jan 2025 | 800.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003823 | 20 Aug 2024 | 529.00 | NORTHSTAR MUTUAL | Not denied | — |