BRIAN FOSTER
Dependent on policy B03M000276
Claims
2
Attributed to this person
Charged
605.00
Total submitted
Denied
69.00
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 | BRIAN FOSTER |
| Role on the policy | Dependent · relationship 19 |
| Policy | B03M000276 |
| Date of birth | 2 Jul 1990 |
| Plan | SILVER HMO |
| Covered from | 1 Dec 2024 |
| Covered to | open |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001104 | 24 Jun 2026 | 536.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001105 | 29 Dec 2024 | 69.00 | NORTHSTAR MUTUAL | CARC 109 · COB | 69.00 |