UMA QUINN
Subscriber on policy B02M000166
Claims
1
Attributed to this person
Charged
758.00
Total submitted
Denied
758.00
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 | B02M000166 |
| Date of birth | 5 Jun 1994 |
| Plan | BRONZE EPO |
| Covered from | 9 Feb 2024 |
| 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 |
|---|---|---|---|---|---|
| CLM0000751 | 11 Jun 2025 | 758.00 | MERIDIAN HEALTH PLAN | CARC 18 · DUPLICATE | 758.00 |