DAVID FOSTER
Dependent on policy B01M000481
Claims
2
Attributed to this person
Charged
1,187.00
Total submitted
Denied
770.00
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 | DAVID FOSTER |
| Role on the policy | Dependent · relationship 19 |
| Policy | B01M000481 |
| Date of birth | 20 Jan 2023 |
| Plan | PLATINUM PPO |
| Covered from | 30 Sep 2024 |
| 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 |
|---|---|---|---|---|---|
| CLM0002145 | 13 Jul 2026 | 770.00 | NORTHSTAR MUTUAL | CARC 16 · BILLING_ERROR | 770.00 |
| CLM0002146 | 17 Apr 2026 | 417.00 | NORTHSTAR MUTUAL | Not denied | — |