MARCUS QUINN
Subscriber on policy B02M000558
Claims
2
Attributed to this person
Charged
925.00
Total submitted
Denied
706.00
2 denied claims
Patient responsibility
142.35
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 | B02M000558 |
| Date of birth | 10 Nov 1984 |
| Plan | GOLD PPO |
| Covered from | 27 Feb 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 96 · Other | 1 | 142.35 |
| Total | 142.35 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002354 | 14 May 2026 | 219.00 | NORTHSTAR MUTUAL | CARC 96 · NON_COVERED | 0.00 |
| CLM0002353 | 17 Oct 2025 | 706.00 | NORTHSTAR MUTUAL | CARC 18 · DUPLICATE | 706.00 |