VICTOR FOSTER
Dependent on policy B02M000899
Claims
2
Attributed to this person
Charged
671.00
Total submitted
Denied
204.00
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 | VICTOR FOSTER |
| Role on the policy | Dependent · relationship 19 |
| Policy | B02M000899 |
| Date of birth | 7 Oct 2005 |
| Plan | BRONZE EPO |
| Covered from | 10 Aug 2024 |
| Covered to | 23 Mar 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 |
|---|---|---|---|---|---|
| CLM0003722 | 2 May 2025 | 204.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 204.00 |
| CLM0003723 | 5 Dec 2024 | 467.00 | NORTHSTAR MUTUAL | Not denied | — |