RAVI FOSTER
Subscriber on policy B02M000421
Claims
2
Attributed to this person
Charged
705.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
76.80
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 | RAVI FOSTER |
| Role on the policy | Subscriber |
| Policy | B02M000421 |
| Date of birth | 23 Jan 1983 |
| Plan | BRONZE EPO |
| Covered from | 12 Oct 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 76.80 |
| Total | 76.80 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001796 | 22 Nov 2025 | 193.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001798 | 21 Dec 2024 | 512.00 | NORTHSTAR MUTUAL | Not denied | — |