MARCUS QUINN
Subscriber on policy B10M000717
Claims
2
Attributed to this person
Charged
527.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
44.85
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 | MARCUS QUINN |
| Role on the policy | Subscriber |
| Policy | B10M000717 |
| Date of birth | 25 Mar 1973 |
| Plan | PLATINUM PPO |
| Covered from | 10 Mar 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 96 · Other | 1 | 44.85 |
| Total | 44.85 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003006 | 24 Jul 2026 | 69.00 | NORTHSTAR MUTUAL | CARC 96 · NON_COVERED | 0.00 |
| CLM0003005 | 11 Nov 2025 | 458.00 | NORTHSTAR MUTUAL | Not denied | — |