ZARA FOSTER
Subscriber on policy B03M000636
Claims
3
Attributed to this person
Charged
933.00
Total submitted
Denied
103.00
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 | ZARA FOSTER |
| Role on the policy | Subscriber |
| Policy | B03M000636 |
| Date of birth | 25 May 1992 |
| Plan | SILVER HMO |
| Covered from | 30 Oct 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 |
|---|---|---|---|---|---|
| CLM0002625 | 25 Aug 2026 | 713.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002626 | 9 Mar 2026 | 117.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002627 | 2 Jan 2025 | 103.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 103.00 |