SOFIA FOSTER
Dependent on policy B05M000497
Claims
3
Attributed to this person
Charged
1,003.00
Total submitted
Denied
350.00
2 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 | SOFIA FOSTER |
| Role on the policy | Dependent · relationship 01 |
| Policy | B05M000497 |
| Date of birth | 9 Feb 1990 |
| Plan | PLATINUM PPO |
| Covered from | 2 Mar 2025 |
| Covered to | 26 Dec 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 |
|---|---|---|---|---|---|
| CLM0002137 | 16 Oct 2025 | 195.00 | MERIDIAN HEALTH PLAN | CARC 96 · NON_COVERED | 195.00 |
| CLM0002139 | 28 Sep 2025 | 653.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002138 | 18 Feb 2025 | 155.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 155.00 |