YUSUF QUINN
Dependent on policy B05M000885
Claims
3
Attributed to this person
Charged
1,644.00
Total submitted
Denied
106.00
2 denied claims
Patient responsibility
552.50
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 | YUSUF QUINN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B05M000885 |
| Date of birth | 31 Aug 1988 |
| Plan | PLATINUM PPO |
| Covered from | 24 Jun 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 50 · Other | 1 | 552.50 |
| Total | 552.50 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003770 | 12 Jul 2026 | 106.00 | NORTHSTAR MUTUAL | CARC 50 · MEDICAL_NECESSITY | 106.00 |
| CLM0003769 | 4 Jul 2026 | 850.00 | NORTHSTAR MUTUAL | CARC 50 · MEDICAL_NECESSITY | 0.00 |
| CLM0003768 | 23 Jun 2026 | 688.00 | NORTHSTAR MUTUAL | Not denied | — |