NADIA QUINN
Subscriber on policy B09M000611
Claims
2
Attributed to this person
Charged
873.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
161.85
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 | NADIA QUINN |
| Role on the policy | Subscriber |
| Policy | B09M000611 |
| Date of birth | 3 Jul 1975 |
| Plan | PLATINUM PPO |
| Covered from | 5 Feb 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 96 · Other | 1 | 161.85 |
| Total | 161.85 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002571 | 26 Jun 2025 | 624.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002570 | 23 Feb 2025 | 249.00 | MERIDIAN HEALTH PLAN | CARC 96 · NON_COVERED | 0.00 |