YUSUF QUINN
Dependent on policy B08M000013
Claims
2
Attributed to this person
Charged
916.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
72.60
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 | YUSUF QUINN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B08M000013 |
| Date of birth | 21 Mar 1948 |
| Plan | BRONZE EPO |
| Covered from | 4 Jun 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 72.60 |
| Total | 72.60 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000052 | 8 Sep 2025 | 363.00 | CASCADE CARE | Not denied | — |
| CLM0000051 | 30 Aug 2024 | 553.00 | CASCADE CARE | Not denied | — |