TOMAS FOSTER
Subscriber on policy B02M000569
Claims
2
Attributed to this person
Charged
1,242.00
Total submitted
Denied
281.75
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 | TOMAS FOSTER |
| Role on the policy | Subscriber |
| Policy | B02M000569 |
| Date of birth | 3 Aug 1962 |
| Plan | BRONZE EPO |
| Covered from | 21 Feb 2024 |
| Covered to | open |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002396 | 27 Dec 2024 | 682.00 | MERIDIAN HEALTH PLAN | CARC 109 · COB | 281.75 |
| CLM0002395 | 30 May 2024 | 560.00 | MERIDIAN HEALTH PLAN | Not denied | — |