JULIA FOSTER
Subscriber on policy B10M000343
Claims
3
Attributed to this person
Charged
1,619.00
Total submitted
Denied
875.00
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 | JULIA FOSTER |
| Role on the policy | Subscriber |
| Policy | B10M000343 |
| Date of birth | 3 Nov 1998 |
| Plan | GOLD PPO |
| Covered from | 13 Jul 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 |
|---|---|---|---|---|---|
| CLM0001433 | 16 Dec 2024 | 94.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 94.00 |
| CLM0001434 | 14 Dec 2024 | 781.00 | MERIDIAN HEALTH PLAN | CARC 16 · BILLING_ERROR | 781.00 |
| CLM0001432 | 3 Sep 2024 | 744.00 | MERIDIAN HEALTH PLAN | Not denied | — |