WENDY FOSTER
Subscriber on policy B05M000055
Claims
1
Attributed to this person
Charged
447.00
Total submitted
Denied
447.00
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 | WENDY FOSTER |
| Role on the policy | Subscriber |
| Policy | B05M000055 |
| Date of birth | 6 Aug 1961 |
| Plan | PLATINUM PPO |
| Covered from | 28 Mar 2024 |
| Covered to | 21 Jun 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000275 | 14 Aug 2024 | 447.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 447.00 |