NADIA QUINN
Subscriber on policy B01M000130
Claims
3
Attributed to this person
Charged
1,938.00
Total submitted
Denied
429.00
1 denied claims
Patient responsibility
121.65
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 | NADIA QUINN |
| Role on the policy | Subscriber |
| Policy | B01M000130 |
| Date of birth | 20 May 1991 |
| Plan | PLATINUM PPO |
| Covered from | 18 Feb 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 121.65 |
| Total | 121.65 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000524 | 12 Oct 2025 | 698.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000525 | 4 Oct 2025 | 811.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000523 | 20 Apr 2025 | 429.00 | NORTHSTAR MUTUAL | CARC 96 · NON_COVERED | 429.00 |