FIONA QUINN
Subscriber on policy B03M000309
Claims
1
Attributed to this person
Charged
63.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
9.45
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 | FIONA QUINN |
| Role on the policy | Subscriber |
| Policy | B03M000309 |
| Date of birth | 6 Jul 2000 |
| Plan | SILVER HMO |
| Covered from | 21 Mar 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 9.45 |
| Total | 9.45 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001238 | 1 Apr 2026 | 63.00 | NORTHSTAR MUTUAL | Not denied | — |