IVAN FOSTER
Dependent on policy B09M000652
Claims
2
Attributed to this person
Charged
995.00
Total submitted
Denied
248.62
2 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 | IVAN FOSTER |
| Role on the policy | Dependent · relationship 19 |
| Policy | B09M000652 |
| Date of birth | 16 May 2006 |
| Plan | GOLD PPO |
| Covered from | 7 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 |
|---|---|---|---|---|---|
| CLM0002766 | 8 Jan 2025 | 656.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 238.67 |
| CLM0002767 | 31 Mar 2024 | 339.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 9.95 |