HENRY QUINN
Dependent on policy B09M000769
Claims
1
Attributed to this person
Charged
536.00
Total submitted
Denied
536.00
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 | Dependent · relationship 19 |
| Policy | B09M000769 |
| Date of birth | 21 Nov 1997 |
| 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 |
|---|---|---|---|---|---|
| CLM0003266 | 6 Apr 2025 | 536.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 536.00 |