DAVID QUINN
Subscriber on policy B09M000704
Claims
1
Attributed to this person
Charged
619.00
Total submitted
Denied
0.00
0 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 | DAVID QUINN |
| Role on the policy | Subscriber |
| Policy | B09M000704 |
| Date of birth | 30 Apr 1960 |
| Plan | PLATINUM PPO |
| Covered from | 28 Oct 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 |
|---|---|---|---|---|---|
| CLM0002993 | 24 Mar 2026 | 619.00 | NORTHSTAR MUTUAL | Not denied | — |