CARLA QUINN
Subscriber on policy B08M000384
Claims
1
Attributed to this person
Charged
304.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
40.00
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 | CARLA QUINN |
| Role on the policy | Subscriber |
| Policy | B08M000384 |
| Date of birth | 9 Sep 1995 |
| Plan | GOLD PPO |
| Covered from | 12 Jul 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 3 · Copay | 1 | 40.00 |
| Total | 40.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001755 | 1 Jan 2025 | 304.00 | CASCADE CARE | Not denied | — |