IVAN QUINN
Dependent on policy B01M000264
Claims
3
Attributed to this person
Charged
1,320.00
Total submitted
Denied
260.00
1 denied claims
Patient responsibility
0.00
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 | IVAN QUINN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B01M000264 |
| Date of birth | 21 Jun 1955 |
| Plan | BRONZE EPO |
| Covered from | 3 May 2024 |
| Covered to | 8 Feb 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001124 | 3 Feb 2025 | 260.00 | CASCADE CARE | CARC 16 · BILLING_ERROR | 260.00 |
| CLM0001125 | 6 Jan 2025 | 659.00 | CASCADE CARE | Not denied | — |
| CLM0001126 | 13 Dec 2024 | 401.00 | CASCADE CARE | Not denied | — |