KEVIN QUINN
Subscriber on policy B06M000890
Claims
2
Attributed to this person
Charged
683.00
Total submitted
Denied
253.00
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 | KEVIN QUINN |
| Role on the policy | Subscriber |
| Policy | B06M000890 |
| Date of birth | 25 Dec 1998 |
| Plan | SILVER HMO |
| Covered from | 27 May 2025 |
| Covered to | 27 Sep 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 |
|---|---|---|---|---|---|
| CLM0003875 | 21 May 2025 | 430.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003874 | 4 May 2025 | 253.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 253.00 |