OMAR QUINN
Subscriber on policy B08M000335
Claims
1
Attributed to this person
Charged
712.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
142.40
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 | B08M000335 |
| Date of birth | 13 Mar 1987 |
| Plan | PLATINUM PPO |
| Covered from | 19 Sep 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 142.40 |
| Total | 142.40 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001545 | 24 Dec 2025 | 712.00 | MERIDIAN HEALTH PLAN | Not denied | — |