AMARA QUINN
Subscriber on policy B09M000741
Claims
3
Attributed to this person
Charged
1,395.00
Total submitted
Denied
463.78
2 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 | AMARA QUINN |
| Role on the policy | Subscriber |
| Policy | B09M000741 |
| Date of birth | 22 Jul 1969 |
| Plan | SILVER HMO |
| Covered from | 4 Sep 2024 |
| Covered to | open |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003137 | 23 Dec 2024 | 659.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003139 | 13 Dec 2024 | 447.00 | MERIDIAN HEALTH PLAN | CARC 11 · CODING | 174.78 |
| CLM0003138 | 4 Dec 2024 | 289.00 | MERIDIAN HEALTH PLAN | CARC 18 · DUPLICATE | 289.00 |