VICTOR FOSTER
Dependent on policy B09M000740
Claims
2
Attributed to this person
Charged
1,393.00
Total submitted
Denied
0.00
0 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 | VICTOR FOSTER |
| Role on the policy | Dependent · relationship 19 |
| Policy | B09M000740 |
| Date of birth | 4 Aug 2023 |
| Plan | SILVER HMO |
| Covered from | 23 Aug 2024 |
| Covered to | 31 May 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003136 | 20 May 2025 | 888.00 | CASCADE CARE | Not denied | — |
| CLM0003135 | 11 Oct 2024 | 505.00 | CASCADE CARE | Not denied | — |