YUSUF FOSTER
Dependent on policy B03M000701
Claims
2
Attributed to this person
Charged
675.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
65.40
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 | YUSUF FOSTER |
| Role on the policy | Dependent · relationship 01 |
| Policy | B03M000701 |
| Date of birth | 14 Sep 1967 |
| Plan | SILVER HMO |
| Covered from | 12 Sep 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 65.40 |
| Total | 65.40 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002913 | 26 Jul 2026 | 327.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002912 | 7 Sep 2024 | 348.00 | MERIDIAN HEALTH PLAN | Not denied | — |