VICTOR QUINN
Subscriber on policy B07M000835
Claims
2
Attributed to this person
Charged
1,359.00
Total submitted
Denied
752.00
1 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 | VICTOR QUINN |
| Role on the policy | Subscriber |
| Policy | B07M000835 |
| Date of birth | 23 Sep 1970 |
| Plan | GOLD PPO |
| Covered from | 9 Jun 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0003438 | 22 Mar 2026 | 752.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 752.00 |
| CLM0003437 | 25 Jun 2025 | 607.00 | CASCADE CARE | Not denied | — |