HENRY QUINN
Dependent on policy B08M000762
Claims
1
Attributed to this person
Charged
83.00
Total submitted
Denied
83.00
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 | HENRY QUINN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B08M000762 |
| Date of birth | 6 Jul 2012 |
| Plan | PLATINUM PPO |
| Covered from | 27 Apr 2025 |
| Covered to | 7 Jan 2026 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003404 | 8 Mar 2026 | 83.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 83.00 |