CARLA FOSTER
Subscriber on policy B01M000094
Claims
2
Attributed to this person
Charged
764.00
Total submitted
Denied
373.00
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 | CARLA FOSTER |
| Role on the policy | Subscriber |
| Policy | B01M000094 |
| Date of birth | 23 May 1950 |
| Plan | PLATINUM PPO |
| Covered from | 18 Oct 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 |
|---|---|---|---|---|---|
| CLM0000367 | 31 Jan 2026 | 373.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 373.00 |
| CLM0000368 | 3 Oct 2025 | 391.00 | NORTHSTAR MUTUAL | Not denied | — |