HENRY FOSTER
Subscriber on policy B03M000596
Claims
3
Attributed to this person
Charged
1,368.00
Total submitted
Denied
491.00
2 denied claims
Patient responsibility
196.30
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 | HENRY FOSTER |
| Role on the policy | Subscriber |
| Policy | B03M000596 |
| Date of birth | 7 Jun 1974 |
| Plan | SILVER HMO |
| Covered from | 2 Nov 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 96 · Other | 1 | 196.30 |
| Total | 196.30 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002447 | 7 Aug 2026 | 491.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 491.00 |
| CLM0002446 | 11 Feb 2026 | 575.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002448 | 9 Dec 2025 | 302.00 | MERIDIAN HEALTH PLAN | CARC 96 · NON_COVERED | 0.00 |