SOFIA QUINN
Subscriber on policy B05M000510
Claims
3
Attributed to this person
Charged
1,088.00
Total submitted
Denied
544.00
2 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 | Subscriber |
| Policy | B05M000510 |
| Date of birth | 25 Aug 1973 |
| Plan | SILVER HMO |
| Covered from | 14 Nov 2024 |
| Covered to | 19 Jul 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 |
|---|---|---|---|---|---|
| CLM0002188 | 20 Jun 2025 | 544.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002187 | 3 Nov 2024 | 420.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 420.00 |
| CLM0002186 | 31 Oct 2024 | 124.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 124.00 |