CARLA FOSTER
Dependent on policy B04M000114
Claims
2
Attributed to this person
Charged
1,487.00
Total submitted
Denied
18.76
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 | CARLA FOSTER |
| Role on the policy | Dependent · relationship 01 |
| Policy | B04M000114 |
| Date of birth | 12 Jan 1980 |
| Plan | BRONZE EPO |
| Covered from | 13 May 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 |
|---|---|---|---|---|---|
| CLM0000524 | 14 May 2026 | 705.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 18.76 |
| CLM0000523 | 9 Sep 2025 | 782.00 | NORTHSTAR MUTUAL | Not denied | — |