YUSUF FOSTER
Dependent on policy B06M000290
Claims
2
Attributed to this person
Charged
936.00
Total submitted
Denied
119.00
1 denied claims
Patient responsibility
20.00
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 | YUSUF FOSTER |
| Role on the policy | Dependent · relationship 19 |
| Policy | B06M000290 |
| Date of birth | 27 Aug 2003 |
| Plan | SILVER HMO |
| Covered from | 24 Sep 2024 |
| Covered to | 7 Apr 2025 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 3 · Copay | 1 | 20.00 |
| Total | 20.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001349 | 21 May 2025 | 817.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001350 | 27 Feb 2025 | 119.00 | MERIDIAN HEALTH PLAN | CARC 109 · COB | 119.00 |