NADIA FOSTER
Subscriber on policy B04M000473
Claims
3
Attributed to this person
Charged
1,663.00
Total submitted
Denied
382.00
2 denied claims
Patient responsibility
376.35
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 | NADIA FOSTER |
| Role on the policy | Subscriber |
| Policy | B04M000473 |
| Date of birth | 11 Mar 1958 |
| Plan | BRONZE EPO |
| Covered from | 13 Feb 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 50 · Other | 1 | 376.35 |
| Total | 376.35 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002028 | 12 Apr 2026 | 702.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002029 | 14 Dec 2025 | 579.00 | NORTHSTAR MUTUAL | CARC 50 · MEDICAL_NECESSITY | 0.00 |
| CLM0002027 | 9 Nov 2025 | 382.00 | NORTHSTAR MUTUAL | CARC 29 · TIMELY_FILING | 382.00 |