HENRY QUINN
Subscriber on policy B09M000769
Claims
2
Attributed to this person
Charged
720.00
Total submitted
Denied
256.00
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 | HENRY QUINN |
| Role on the policy | Subscriber |
| Policy | B09M000769 |
| Date of birth | 26 Oct 1960 |
| Plan | SILVER HMO |
| Covered from | 3 May 2025 |
| Covered to | 23 Nov 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003259 | 16 Nov 2025 | 256.00 | CASCADE CARE | CARC 16 · BILLING_ERROR | 256.00 |
| CLM0003260 | 17 Sep 2025 | 464.00 | CASCADE CARE | Not denied | — |