OMAR FOSTER
Subscriber on policy B10M000783
Claims
3
Attributed to this person
Charged
1,932.00
Total submitted
Denied
447.00
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 | OMAR FOSTER |
| Role on the policy | Subscriber |
| Policy | B10M000783 |
| Date of birth | 18 Nov 1985 |
| Plan | GOLD PPO |
| Covered from | 4 Apr 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 |
|---|---|---|---|---|---|
| CLM0003302 | 22 Dec 2025 | 776.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003301 | 14 May 2025 | 447.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 447.00 |
| CLM0003303 | 4 Apr 2025 | 709.00 | NORTHSTAR MUTUAL | Not denied | — |