KEVIN FOSTER
Subscriber on policy B02M000033
Claims
1
Attributed to this person
Charged
883.00
Total submitted
Denied
883.00
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 | KEVIN FOSTER |
| Role on the policy | Subscriber |
| Policy | B02M000033 |
| Date of birth | 25 Nov 1961 |
| Plan | GOLD PPO |
| Covered from | 17 Jan 2025 |
| Covered to | 14 Apr 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000162 | 25 Jan 2025 | 883.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 883.00 |