ELENA FOSTER
Dependent on policy B04M000222
Claims
3
Attributed to this person
Charged
1,179.00
Total submitted
Denied
298.00
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 | ELENA FOSTER |
| Role on the policy | Dependent · relationship 01 |
| Policy | B04M000222 |
| Date of birth | 22 Jul 1976 |
| Plan | GOLD PPO |
| Covered from | 9 Sep 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 |
|---|---|---|---|---|---|
| CLM0000979 | 30 Nov 2025 | 298.00 | MERIDIAN HEALTH PLAN | CARC 197 · AUTHORIZATION | 298.00 |
| CLM0000978 | 31 Oct 2025 | 317.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000980 | 22 Sep 2025 | 564.00 | MERIDIAN HEALTH PLAN | Not denied | — |