HENRY QUINN
Dependent on policy B07M000473
Claims
2
Attributed to this person
Charged
1,397.00
Total submitted
Denied
722.00
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 | HENRY QUINN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B07M000473 |
| Date of birth | 25 May 2006 |
| Plan | SILVER HMO |
| Covered from | 4 Jun 2025 |
| Covered to | 14 Mar 2026 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002007 | 19 Nov 2025 | 675.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002006 | 13 Sep 2025 | 722.00 | MERIDIAN HEALTH PLAN | CARC 50 · MEDICAL_NECESSITY | 722.00 |