DAVID FOSTER
Subscriber on policy B05M000185
Claims
1
Attributed to this person
Charged
124.00
Total submitted
Denied
124.00
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 | DAVID FOSTER |
| Role on the policy | Subscriber |
| Policy | B05M000185 |
| Date of birth | 19 Dec 1969 |
| Plan | SILVER HMO |
| Covered from | 14 Jan 2025 |
| Covered to | 15 Oct 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 |
|---|---|---|---|---|---|
| CLM0000781 | 5 Dec 2025 | 124.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 124.00 |