FIONA QUINN
Subscriber on policy B08M000669
Claims
2
Attributed to this person
Charged
1,132.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
71.85
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 | FIONA QUINN |
| Role on the policy | Subscriber |
| Policy | B08M000669 |
| Date of birth | 29 Nov 1958 |
| Plan | PLATINUM PPO |
| Covered from | 26 Dec 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 71.85 |
| Total | 71.85 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003013 | 22 Feb 2026 | 479.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003012 | 1 Nov 2025 | 653.00 | NORTHSTAR MUTUAL | Not denied | — |