DAVID QUINN
Subscriber on policy B06M000863
Claims
1
Attributed to this person
Charged
226.00
Total submitted
Denied
226.00
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 | B06M000863 |
| Date of birth | 11 Sep 1970 |
| Plan | PLATINUM PPO |
| Covered from | 27 Jan 2025 |
| Covered to | 9 Sep 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 |
|---|---|---|---|---|---|
| CLM0003772 | 9 Feb 2025 | 226.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 226.00 |