DAVID QUINN
Subscriber on policy B07M000468
Claims
3
Attributed to this person
Charged
589.00
Total submitted
Denied
131.00
1 denied claims
Patient responsibility
25.00
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 | B07M000468 |
| Date of birth | 5 Oct 1972 |
| Plan | PLATINUM PPO |
| Covered from | 16 Feb 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 3 · Copay | 1 | 25.00 |
| Total | 25.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001983 | 14 Aug 2025 | 368.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001985 | 10 Jul 2025 | 90.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001984 | 23 Feb 2024 | 131.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 131.00 |