PRIYA FOSTER
Dependent on policy B05M000410
Claims
1
Attributed to this person
Charged
274.00
Total submitted
Denied
274.00
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 | PRIYA FOSTER |
| Role on the policy | Dependent · relationship 01 |
| Policy | B05M000410 |
| Date of birth | 25 Jun 1974 |
| Plan | GOLD PPO |
| Covered from | 18 Feb 2025 |
| Covered to | 27 Apr 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 |
|---|---|---|---|---|---|
| CLM0001743 | 7 Feb 2025 | 274.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 274.00 |