AMARA FOSTER
Dependent on policy B10M000124
Claims
2
Attributed to this person
Charged
954.00
Total submitted
Denied
51.90
1 denied claims
Patient responsibility
112.80
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 | AMARA FOSTER |
| Role on the policy | Dependent · relationship 19 |
| Policy | B10M000124 |
| Date of birth | 14 Jan 2023 |
| Plan | PLATINUM PPO |
| Covered from | 11 Mar 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 112.80 |
| Total | 112.80 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000528 | 17 Dec 2025 | 202.00 | CASCADE CARE | CARC 109 · COB | 51.90 |
| CLM0000527 | 24 Mar 2025 | 752.00 | CASCADE CARE | Not denied | — |