AMARA QUINN
Dependent on policy B04M000606
Claims
2
Attributed to this person
Charged
316.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
38.60
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 | AMARA QUINN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B04M000606 |
| Date of birth | 31 Mar 1968 |
| Plan | BRONZE EPO |
| Covered from | 24 Jan 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 38.60 |
| Total | 38.60 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002649 | 8 May 2026 | 123.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002648 | 15 Oct 2025 | 193.00 | NORTHSTAR MUTUAL | Not denied | — |