BRIAN FOSTER
Dependent on policy B04M000639
Claims
3
Attributed to this person
Charged
759.00
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 | BRIAN FOSTER |
| Role on the policy | Dependent · relationship 19 |
| Policy | B04M000639 |
| Date of birth | 5 Jan 2021 |
| Plan | PLATINUM PPO |
| Covered from | 20 Jun 2024 |
| Covered to | 3 Jan 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002774 | 19 Feb 2025 | 298.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 298.00 |
| CLM0002773 | 20 Nov 2024 | 184.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002775 | 10 Aug 2024 | 277.00 | NORTHSTAR MUTUAL | Not denied | — |