JULIA FOSTER
Dependent on policy B02M000033
Claims
2
Attributed to this person
Charged
701.00
Total submitted
Denied
574.00
1 denied claims
Patient responsibility
25.40
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 19 |
| Policy | B02M000033 |
| Date of birth | 12 Aug 1998 |
| Plan | GOLD PPO |
| Covered from | 17 Jan 2025 |
| Covered to | 14 Apr 2025 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 25.40 |
| Total | 25.40 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000166 | 9 Jun 2025 | 574.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 574.00 |
| CLM0000165 | 16 May 2025 | 127.00 | MERIDIAN HEALTH PLAN | Not denied | — |