SOFIA QUINN
Dependent on policy B04M000891
Claims
2
Attributed to this person
Charged
1,303.00
Total submitted
Denied
230.39
1 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 | SOFIA QUINN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B04M000891 |
| Date of birth | 11 Nov 2009 |
| Plan | PLATINUM PPO |
| Covered from | 20 Mar 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0003867 | 18 Dec 2025 | 419.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003868 | 9 Oct 2025 | 884.00 | NORTHSTAR MUTUAL | CARC 11 · CODING | 230.39 |