LEILA QUINN
Dependent on policy B07M000502
Claims
2
Attributed to this person
Charged
879.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
15.00
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 | LEILA QUINN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B07M000502 |
| Date of birth | 17 Jul 1994 |
| Plan | PLATINUM PPO |
| Covered from | 27 Sep 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 3 · Copay | 1 | 15.00 |
| Total | 15.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002146 | 30 Jun 2025 | 231.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002147 | 18 Mar 2025 | 648.00 | MERIDIAN HEALTH PLAN | Not denied | — |