CARLA FOSTER
Dependent on policy B05M000328
Claims
1
Attributed to this person
Charged
326.00
Total submitted
Denied
326.00
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 | CARLA FOSTER |
| Role on the policy | Dependent · relationship 01 |
| Policy | B05M000328 |
| Date of birth | 26 Sep 1982 |
| Plan | BRONZE EPO |
| Covered from | 1 Jun 2025 |
| Covered to | open |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001377 | 23 May 2025 | 326.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 326.00 |