YUSUF FOSTER
Subscriber on policy B10M000183
Claims
3
Attributed to this person
Charged
992.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
171.60
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 | YUSUF FOSTER |
| Role on the policy | Subscriber |
| Policy | B10M000183 |
| Date of birth | 9 Apr 1992 |
| Plan | BRONZE EPO |
| Covered from | 19 Feb 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 50 · Other | 1 | 171.60 |
| Total | 171.60 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000753 | 5 Feb 2026 | 519.00 | CASCADE CARE | Not denied | — |
| CLM0000751 | 9 Feb 2025 | 264.00 | CASCADE CARE | CARC 50 · MEDICAL_NECESSITY | 0.00 |
| CLM0000752 | 22 Dec 2024 | 209.00 | CASCADE CARE | Not denied | — |