OMAR QUINN
Dependent on policy B06M000775
Claims
3
Attributed to this person
Charged
1,234.00
Total submitted
Denied
546.00
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 | OMAR QUINN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B06M000775 |
| Date of birth | 9 Mar 1992 |
| Plan | BRONZE EPO |
| Covered from | 18 Aug 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 |
|---|---|---|---|---|---|
| CLM0003422 | 26 Aug 2026 | 183.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003424 | 28 May 2026 | 505.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003423 | 18 Mar 2025 | 546.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 546.00 |