IVAN QUINN
Dependent on policy B07M000762
Claims
3
Attributed to this person
Charged
661.00
Total submitted
Denied
372.60
3 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 | IVAN QUINN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B07M000762 |
| Date of birth | 1 Feb 2016 |
| Plan | BRONZE EPO |
| Covered from | 25 Mar 2025 |
| Covered to | 30 Jun 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 |
|---|---|---|---|---|---|
| CLM0003162 | 12 Jun 2025 | 102.00 | NORTHSTAR MUTUAL | CARC 96 · NON_COVERED | 102.00 |
| CLM0003161 | 8 May 2025 | 387.00 | NORTHSTAR MUTUAL | CARC 29 · TIMELY_FILING | 98.60 |
| CLM0003163 | 12 Mar 2025 | 172.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 172.00 |