TOMAS FOSTER
Dependent on policy B01M000243
Claims
1
Attributed to this person
Charged
65.00
Total submitted
Denied
65.00
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 | TOMAS FOSTER |
| Role on the policy | Dependent · relationship 19 |
| Policy | B01M000243 |
| Date of birth | 14 Apr 2020 |
| Plan | SILVER HMO |
| Covered from | 5 Jun 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0001031 | 24 Oct 2025 | 65.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 65.00 |