IVAN QUINN
Dependent on policy B08M000527
Claims
3
Attributed to this person
Charged
1,209.00
Total submitted
Denied
674.00
2 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 | B08M000527 |
| Date of birth | 25 Apr 1983 |
| Plan | GOLD PPO |
| Covered from | 1 Jan 2025 |
| Covered to | 17 Mar 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 |
|---|---|---|---|---|---|
| CLM0002403 | 29 Apr 2025 | 387.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 387.00 |
| CLM0002401 | 3 Mar 2025 | 535.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002402 | 4 Feb 2025 | 287.00 | NORTHSTAR MUTUAL | CARC 18 · DUPLICATE | 287.00 |