PRIYA FOSTER
Subscriber on policy B03M000078
Claims
3
Attributed to this person
Charged
1,193.00
Total submitted
Denied
553.00
1 denied claims
Patient responsibility
20.00
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 | PRIYA FOSTER |
| Role on the policy | Subscriber |
| Policy | B03M000078 |
| Date of birth | 23 May 2004 |
| Plan | BRONZE EPO |
| Covered from | 4 Mar 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 3 · Copay | 1 | 20.00 |
| Total | 20.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000328 | 20 Jun 2025 | 203.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000329 | 11 Jun 2025 | 437.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000330 | 20 Apr 2025 | 553.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 553.00 |