WENDY QUINN
Dependent on policy B08M000161
Claims
1
Attributed to this person
Charged
594.00
Total submitted
Denied
594.00
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 | WENDY QUINN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B08M000161 |
| Date of birth | 10 Jan 1992 |
| Plan | BRONZE EPO |
| Covered from | 19 Jun 2024 |
| Covered to | 2 Oct 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000736 | 12 Oct 2024 | 594.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 594.00 |