KEVIN FOSTER
Dependent on policy B03M000078
Claims
2
Attributed to this person
Charged
545.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
57.20
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 | KEVIN FOSTER |
| Role on the policy | Dependent · relationship 19 |
| Policy | B03M000078 |
| Date of birth | 15 Aug 2018 |
| Plan | BRONZE EPO |
| Covered from | 4 Mar 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 96 · Other | 1 | 57.20 |
| Total | 57.20 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000333 | 31 Jul 2026 | 457.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000332 | 22 Feb 2026 | 88.00 | MERIDIAN HEALTH PLAN | CARC 96 · NON_COVERED | 0.00 |