CARLA QUINN
Dependent on policy B10M000277
Claims
1
Attributed to this person
Charged
288.00
Total submitted
Denied
288.00
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 | CARLA QUINN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B10M000277 |
| Date of birth | 16 Jul 2011 |
| Plan | PLATINUM PPO |
| Covered from | 24 Mar 2024 |
| Covered to | 24 Dec 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001172 | 4 Jan 2025 | 288.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 288.00 |