JULIA FOSTER
Subscriber on policy B09M000434
Claims
1
Attributed to this person
Charged
889.00
Total submitted
Denied
889.00
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 | JULIA FOSTER |
| Role on the policy | Subscriber |
| Policy | B09M000434 |
| Date of birth | 10 Dec 1974 |
| Plan | GOLD PPO |
| Covered from | 10 Aug 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 |
|---|---|---|---|---|---|
| CLM0001814 | 12 Jul 2024 | 889.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 889.00 |