VICTOR FOSTER
Dependent on policy B03M000259
Claims
2
Attributed to this person
Charged
865.00
Total submitted
Denied
865.00
2 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 | VICTOR FOSTER |
| Role on the policy | Dependent · relationship 19 |
| Policy | B03M000259 |
| Date of birth | 19 Jul 2021 |
| Plan | BRONZE EPO |
| Covered from | 21 May 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 |
|---|---|---|---|---|---|
| CLM0001040 | 5 Jul 2026 | 210.00 | CASCADE CARE | CARC 16 · BILLING_ERROR | 210.00 |
| CLM0001041 | 26 Jun 2026 | 655.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 655.00 |