JULIA QUINN
Dependent on policy B08M000124
Claims
3
Attributed to this person
Charged
840.00
Total submitted
Denied
377.00
1 denied claims
Patient responsibility
77.20
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 | JULIA QUINN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B08M000124 |
| Date of birth | 26 Sep 2011 |
| Plan | SILVER HMO |
| Covered from | 3 Apr 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 77.20 |
| Total | 77.20 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000560 | 24 Jun 2026 | 386.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000558 | 20 Feb 2026 | 377.00 | NORTHSTAR MUTUAL | CARC 11 · CODING | 377.00 |
| CLM0000559 | 23 Jun 2025 | 77.00 | NORTHSTAR MUTUAL | Not denied | — |