FIONA QUINN
Subscriber on policy B06M000395
Claims
1
Attributed to this person
Charged
319.00
Total submitted
Denied
137.78
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 | FIONA QUINN |
| Role on the policy | Subscriber |
| Policy | B06M000395 |
| Date of birth | 8 Jan 1965 |
| Plan | PLATINUM PPO |
| Covered from | 12 Jul 2024 |
| Covered to | 6 Feb 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 |
|---|---|---|---|---|---|
| CLM0001795 | 24 Jan 2025 | 319.00 | NORTHSTAR MUTUAL | CARC 11 · CODING | 137.78 |