FIONA QUINN
Subscriber on policy B09M000599
Claims
1
Attributed to this person
Charged
597.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
15.00
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 | FIONA QUINN |
| Role on the policy | Subscriber |
| Policy | B09M000599 |
| Date of birth | 13 Nov 1960 |
| Plan | SILVER HMO |
| Covered from | 23 Mar 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 3 · Copay | 1 | 15.00 |
| Total | 15.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002535 | 27 Sep 2024 | 597.00 | MERIDIAN HEALTH PLAN | Not denied | — |