GRACE QUINN
Subscriber on policy B07M000842
Claims
3
Attributed to this person
Charged
533.00
Total submitted
Denied
325.00
2 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 | B07M000842 |
| Date of birth | 5 May 1982 |
| Plan | PLATINUM PPO |
| Covered from | 17 Mar 2025 |
| Covered to | 25 Jun 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 |
|---|---|---|---|---|---|
| CLM0003457 | 12 Jul 2025 | 237.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 237.00 |
| CLM0003459 | 10 May 2025 | 88.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 88.00 |
| CLM0003458 | 17 Mar 2025 | 208.00 | MERIDIAN HEALTH PLAN | Not denied | — |