ZARA QUINN
Dependent on policy B02M000330
Claims
3
Attributed to this person
Charged
870.00
Total submitted
Denied
766.00
2 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 | ZARA QUINN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B02M000330 |
| Date of birth | 4 Apr 2017 |
| Plan | GOLD PPO |
| Covered from | 13 Sep 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 |
|---|---|---|---|---|---|
| CLM0001416 | 27 Jan 2026 | 428.00 | NORTHSTAR MUTUAL | CARC 197 · AUTHORIZATION | 428.00 |
| CLM0001415 | 14 Sep 2025 | 338.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 338.00 |
| CLM0001417 | 11 Apr 2025 | 104.00 | NORTHSTAR MUTUAL | Not denied | — |