WENDY FOSTER
Dependent on policy B02M000164
Claims
2
Attributed to this person
Charged
250.00
Total submitted
Denied
42.45
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 | WENDY FOSTER |
| Role on the policy | Dependent · relationship 19 |
| Policy | B02M000164 |
| Date of birth | 16 Feb 1984 |
| Plan | SILVER HMO |
| Covered from | 5 Oct 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 |
|---|---|---|---|---|---|
| CLM0000742 | 3 Oct 2025 | 149.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000743 | 6 Sep 2025 | 101.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 42.45 |