KEVIN FOSTER
Subscriber on policy B03M000468
Claims
1
Attributed to this person
Charged
447.00
Total submitted
Denied
104.87
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 | KEVIN FOSTER |
| Role on the policy | Subscriber |
| Policy | B03M000468 |
| Date of birth | 19 Jun 1984 |
| Plan | SILVER HMO |
| Covered from | 1 Feb 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0001935 | 12 Aug 2025 | 447.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 104.87 |