OMAR QUINN
Dependent on policy B07M000418
Claims
2
Attributed to this person
Charged
825.00
Total submitted
Denied
66.00
1 denied claims
Patient responsibility
151.80
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 | Dependent · relationship 19 |
| Policy | B07M000418 |
| Date of birth | 13 Apr 1982 |
| Plan | GOLD PPO |
| Covered from | 24 Jul 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 151.80 |
| Total | 151.80 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001765 | 22 May 2026 | 759.00 | CASCADE CARE | Not denied | — |
| CLM0001764 | 20 Dec 2024 | 66.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 66.00 |