JULIA QUINN
Dependent on policy B08M000210
Claims
3
Attributed to this person
Charged
1,175.00
Total submitted
Denied
91.00
1 denied claims
Patient responsibility
148.40
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 | JULIA QUINN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B08M000210 |
| Date of birth | 5 Aug 2006 |
| Plan | SILVER HMO |
| Covered from | 12 Sep 2024 |
| Covered to | 20 Feb 2025 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 148.40 |
| Total | 148.40 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000944 | 25 Mar 2025 | 91.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 91.00 |
| CLM0000943 | 13 Dec 2024 | 342.00 | CASCADE CARE | Not denied | — |
| CLM0000942 | 8 Oct 2024 | 742.00 | CASCADE CARE | Not denied | — |