WENDY FOSTER
Subscriber on policy B06M000290
Claims
3
Attributed to this person
Charged
1,475.00
Total submitted
Denied
212.00
1 denied claims
Patient responsibility
144.20
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 | WENDY FOSTER |
| Role on the policy | Subscriber |
| Policy | B06M000290 |
| Date of birth | 5 Aug 1978 |
| Plan | SILVER HMO |
| Covered from | 24 Sep 2024 |
| Covered to | 7 Apr 2025 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 144.20 |
| Total | 144.20 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001343 | 2 May 2025 | 212.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 212.00 |
| CLM0001344 | 24 Feb 2025 | 721.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001345 | 11 Feb 2025 | 542.00 | MERIDIAN HEALTH PLAN | Not denied | — |