DAVID QUINN
Subscriber on policy B05M000064
Claims
2
Attributed to this person
Charged
996.00
Total submitted
Denied
828.00
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 | DAVID QUINN |
| Role on the policy | Subscriber |
| Policy | B05M000064 |
| Date of birth | 3 Sep 1955 |
| Plan | GOLD PPO |
| Covered from | 29 May 2025 |
| Covered to | 19 Jan 2026 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000306 | 2 Mar 2026 | 828.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 828.00 |
| CLM0000305 | 30 Jun 2025 | 168.00 | NORTHSTAR MUTUAL | Not denied | — |