GRACE QUINN
Dependent on policy B09M000567
Claims
3
Attributed to this person
Charged
1,890.00
Total submitted
Denied
306.62
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 | GRACE QUINN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B09M000567 |
| Date of birth | 29 Aug 1988 |
| Plan | SILVER HMO |
| Covered from | 16 Dec 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 |
|---|---|---|---|---|---|
| CLM0002404 | 25 Nov 2025 | 800.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 306.62 |
| CLM0002403 | 9 Aug 2025 | 229.00 | CASCADE CARE | Not denied | — |
| CLM0002402 | 7 Aug 2025 | 861.00 | CASCADE CARE | Not denied | — |