DAVID QUINN
Dependent on policy B09M000662
Claims
3
Attributed to this person
Charged
1,265.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
43.95
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 | DAVID QUINN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B09M000662 |
| Date of birth | 25 Mar 1997 |
| Plan | GOLD PPO |
| Covered from | 12 Feb 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 43.95 |
| Total | 43.95 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002812 | 24 Feb 2026 | 322.00 | CASCADE CARE | Not denied | — |
| CLM0002814 | 12 Jul 2025 | 293.00 | CASCADE CARE | Not denied | — |
| CLM0002813 | 2 Apr 2024 | 650.00 | CASCADE CARE | Not denied | — |