LEILA FOSTER
Subscriber on policy B03M000408
Claims
2
Attributed to this person
Charged
562.00
Total submitted
Denied
562.00
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 | LEILA FOSTER |
| Role on the policy | Subscriber |
| Policy | B03M000408 |
| Date of birth | 22 Jun 1990 |
| Plan | PLATINUM PPO |
| Covered from | 12 Aug 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 |
|---|---|---|---|---|---|
| CLM0001662 | 15 Dec 2025 | 415.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 415.00 |
| CLM0001663 | 3 Aug 2024 | 147.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 147.00 |