RAVI QUINN
Subscriber on policy B08M000013
Claims
1
Attributed to this person
Charged
514.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
334.10
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 | RAVI QUINN |
| Role on the policy | Subscriber |
| Policy | B08M000013 |
| Date of birth | 28 Jan 1954 |
| Plan | BRONZE EPO |
| Covered from | 4 Jun 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 96 · Other | 1 | 334.10 |
| Total | 334.10 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000050 | 25 Dec 2025 | 514.00 | CASCADE CARE | CARC 96 · NON_COVERED | 0.00 |