UMA QUINN
Subscriber on policy B01M000773
Claims
1
Attributed to this person
Charged
332.00
Total submitted
Denied
332.00
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 | UMA QUINN |
| Role on the policy | Subscriber |
| Policy | B01M000773 |
| Date of birth | 6 Aug 1996 |
| Plan | SILVER HMO |
| Covered from | 19 Apr 2025 |
| Covered to | open |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003438 | 1 Apr 2025 | 332.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 332.00 |