ZARA QUINN
Dependent on policy B08M000335
Claims
3
Attributed to this person
Charged
1,304.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
49.00
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 | ZARA QUINN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B08M000335 |
| Date of birth | 22 Jul 2016 |
| 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 | 49.00 |
| Total | 49.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001550 | 6 Oct 2025 | 245.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001548 | 1 Sep 2025 | 417.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001549 | 4 Sep 2024 | 642.00 | MERIDIAN HEALTH PLAN | Not denied | — |