IVAN QUINN
Dependent on policy B02M000048
Claims
2
Attributed to this person
Charged
961.00
Total submitted
Denied
232.00
1 denied claims
Patient responsibility
145.80
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 | IVAN QUINN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B02M000048 |
| Date of birth | 19 May 1969 |
| Plan | BRONZE EPO |
| Covered from | 11 May 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 145.80 |
| Total | 145.80 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000232 | 22 Jan 2026 | 729.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000233 | 2 Jun 2025 | 232.00 | MERIDIAN HEALTH PLAN | CARC 11 · CODING | 232.00 |