GRACE QUINN
Subscriber on policy B06M000421
Claims
2
Attributed to this person
Charged
880.00
Total submitted
Denied
253.00
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 | GRACE QUINN |
| Role on the policy | Subscriber |
| Policy | B06M000421 |
| Date of birth | 27 Aug 1955 |
| Plan | GOLD PPO |
| Covered from | 8 May 2024 |
| Covered to | 4 Mar 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 |
|---|---|---|---|---|---|
| CLM0001936 | 8 Aug 2024 | 253.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 253.00 |
| CLM0001935 | 11 Jun 2024 | 627.00 | CASCADE CARE | Not denied | — |