OMAR FOSTER
Dependent on policy B05M000437
Claims
2
Attributed to this person
Charged
386.00
Total submitted
Denied
79.68
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 | OMAR FOSTER |
| Role on the policy | Dependent · relationship 01 |
| Policy | B05M000437 |
| Date of birth | 21 Dec 2001 |
| Plan | BRONZE EPO |
| Covered from | 12 May 2025 |
| Covered to | 18 Jul 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 |
|---|---|---|---|---|---|
| CLM0001842 | 2 Jun 2025 | 302.00 | CASCADE CARE | CARC 109 · COB | 79.68 |
| CLM0001843 | 24 May 2025 | 84.00 | CASCADE CARE | Not denied | — |