FIONA FOSTER
Subscriber on policy B06M000091
Claims
3
Attributed to this person
Charged
806.00
Total submitted
Denied
99.00
1 denied claims
Patient responsibility
103.00
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 | FIONA FOSTER |
| Role on the policy | Subscriber |
| Policy | B06M000091 |
| Date of birth | 6 Jul 1973 |
| Plan | GOLD PPO |
| Covered from | 29 Apr 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 103.00 |
| Total | 103.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000474 | 8 Dec 2025 | 192.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000475 | 2 Oct 2025 | 515.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000473 | 23 Sep 2025 | 99.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 99.00 |