OMAR QUINN
Subscriber on policy B07M000133
Claims
1
Attributed to this person
Charged
278.00
Total submitted
Denied
278.00
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 | OMAR QUINN |
| Role on the policy | Subscriber |
| Policy | B07M000133 |
| Date of birth | 26 Oct 1996 |
| Plan | SILVER HMO |
| Covered from | 3 Feb 2025 |
| Covered to | open |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000552 | 2 Sep 2025 | 278.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 278.00 |