NADIA QUINN
Dependent on policy B08M000161
Claims
1
Attributed to this person
Charged
342.00
Total submitted
Denied
342.00
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 | NADIA QUINN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B08M000161 |
| Date of birth | 13 Oct 2010 |
| 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 |
|---|---|---|---|---|---|
| CLM0000737 | 22 May 2024 | 342.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 342.00 |