LEILA QUINN
Dependent on policy B09M000796
Claims
3
Attributed to this person
Charged
1,523.00
Total submitted
Denied
870.00
1 denied claims
Patient responsibility
46.20
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 | LEILA QUINN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B09M000796 |
| Date of birth | 22 Dec 1951 |
| Plan | BRONZE EPO |
| Covered from | 20 Jun 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 46.20 |
| Total | 46.20 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003374 | 15 Nov 2025 | 345.00 | CASCADE CARE | Not denied | — |
| CLM0003373 | 15 Oct 2025 | 870.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 870.00 |
| CLM0003375 | 2 Oct 2025 | 308.00 | CASCADE CARE | Not denied | — |