YUSUF QUINN
Dependent on policy B03M000760
Claims
3
Attributed to this person
Charged
2,296.00
Total submitted
Denied
0.00
0 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 | YUSUF QUINN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B03M000760 |
| Date of birth | 21 Nov 1988 |
| Plan | PLATINUM PPO |
| Covered from | 21 Apr 2024 |
| Covered to | 3 Feb 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003196 | 22 Jan 2025 | 876.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003195 | 10 Aug 2024 | 868.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003197 | 25 May 2024 | 552.00 | NORTHSTAR MUTUAL | Not denied | — |