VICTOR QUINN
Subscriber on policy B09M000129
Claims
1
Attributed to this person
Charged
361.00
Total submitted
Denied
90.35
1 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 | VICTOR QUINN |
| Role on the policy | Subscriber |
| Policy | B09M000129 |
| Date of birth | 6 Dec 1986 |
| Plan | SILVER HMO |
| Covered from | 30 Nov 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 |
|---|---|---|---|---|---|
| CLM0000533 | 19 May 2025 | 361.00 | CASCADE CARE | CARC 96 · NON_COVERED | 90.35 |