HENRY QUINN
Subscriber on policy B09M000588
Claims
3
Attributed to this person
Charged
1,534.00
Total submitted
Denied
563.00
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 | Subscriber |
| Policy | B09M000588 |
| Date of birth | 20 Feb 1995 |
| Plan | GOLD PPO |
| Covered from | 6 Feb 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0002499 | 29 Oct 2025 | 563.00 | NORTHSTAR MUTUAL | CARC 29 · TIMELY_FILING | 563.00 |
| CLM0002500 | 20 Aug 2025 | 694.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002498 | 2 Jul 2025 | 277.00 | NORTHSTAR MUTUAL | Not denied | — |