WENDY QUINN
Dependent on policy B01M000447
Claims
3
Attributed to this person
Charged
1,538.00
Total submitted
Denied
785.00
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 | WENDY QUINN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B01M000447 |
| Date of birth | 16 Feb 1995 |
| Plan | SILVER HMO |
| Covered from | 12 Jun 2024 |
| Covered to | 16 Sep 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001997 | 24 Oct 2024 | 708.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 708.00 |
| CLM0001998 | 25 Aug 2024 | 753.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001996 | 8 Jun 2024 | 77.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 77.00 |