NADIA QUINN
Dependent on policy B02M000015
Claims
2
Attributed to this person
Charged
467.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
14.10
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 | NADIA QUINN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B02M000015 |
| Date of birth | 10 May 1993 |
| Plan | SILVER HMO |
| Covered from | 18 Sep 2024 |
| Covered to | 5 May 2025 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 14.10 |
| Total | 14.10 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000091 | 13 Jun 2025 | 94.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000092 | 15 Jan 2025 | 373.00 | NORTHSTAR MUTUAL | Not denied | — |