BRIAN FOSTER
Subscriber on policy B05M000125
Claims
1
Attributed to this person
Charged
139.00
Total submitted
Denied
139.00
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 | BRIAN FOSTER |
| Role on the policy | Subscriber |
| Policy | B05M000125 |
| Date of birth | 21 May 1996 |
| Plan | GOLD PPO |
| Covered from | 29 Dec 2024 |
| Covered to | 2 Aug 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 |
|---|---|---|---|---|---|
| CLM0000526 | 23 Sep 2025 | 139.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 139.00 |