TOMAS QUINN
Subscriber on policy B10M000494
Claims
2
Attributed to this person
Charged
1,036.00
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 | TOMAS QUINN |
| Role on the policy | Subscriber |
| Policy | B10M000494 |
| Date of birth | 24 Jul 1983 |
| Plan | PLATINUM PPO |
| Covered from | 9 Apr 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 |
|---|---|---|---|---|---|
| CLM0002038 | 1 Oct 2025 | 336.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002039 | 23 Mar 2025 | 700.00 | NORTHSTAR MUTUAL | Not denied | — |