PRIYA QUINN
Dependent on policy B09M000382
Claims
2
Attributed to this person
Charged
714.00
Total submitted
Denied
66.56
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 | PRIYA QUINN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B09M000382 |
| Date of birth | 23 Dec 1951 |
| Plan | SILVER HMO |
| Covered from | 13 Sep 2024 |
| Covered to | open |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001593 | 16 Aug 2025 | 233.00 | NORTHSTAR MUTUAL | CARC 18 · DUPLICATE | 66.56 |
| CLM0001594 | 21 Feb 2025 | 481.00 | NORTHSTAR MUTUAL | Not denied | — |