RAVI FOSTER
Subscriber on policy B05M000767
Claims
3
Attributed to this person
Charged
1,193.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
156.00
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 | RAVI FOSTER |
| Role on the policy | Subscriber |
| Policy | B05M000767 |
| Date of birth | 2 Jul 1954 |
| Plan | GOLD PPO |
| Covered from | 9 Nov 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 50 · Other | 1 | 156.00 |
| Total | 156.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003287 | 13 Oct 2025 | 240.00 | MERIDIAN HEALTH PLAN | CARC 50 · MEDICAL_NECESSITY | 0.00 |
| CLM0003285 | 2 Apr 2025 | 261.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003286 | 22 Feb 2025 | 692.00 | MERIDIAN HEALTH PLAN | Not denied | — |