HENRY FOSTER
Subscriber on policy B03M000683
Claims
1
Attributed to this person
Charged
571.00
Total submitted
Denied
571.00
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 | HENRY FOSTER |
| Role on the policy | Subscriber |
| Policy | B03M000683 |
| Date of birth | 28 Feb 1984 |
| Plan | GOLD PPO |
| Covered from | 19 Mar 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 |
|---|---|---|---|---|---|
| CLM0002843 | 20 Jun 2026 | 571.00 | CASCADE CARE | CARC 18 · DUPLICATE | 571.00 |