JULIA FOSTER
Dependent on policy B10M000115
Claims
3
Attributed to this person
Charged
1,281.00
Total submitted
Denied
624.00
1 denied claims
Patient responsibility
50.00
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 | Dependent · relationship 01 |
| Policy | B10M000115 |
| Date of birth | 19 Nov 1987 |
| Plan | BRONZE EPO |
| Covered from | 13 Apr 2025 |
| Covered to | 22 Jan 2026 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 3 · Copay | 1 | 50.00 |
| Total | 50.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000473 | 23 Feb 2026 | 624.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 624.00 |
| CLM0000474 | 29 Oct 2025 | 301.00 | CASCADE CARE | Not denied | — |
| CLM0000475 | 25 Aug 2025 | 356.00 | CASCADE CARE | Not denied | — |