WENDY QUINN
Dependent on policy B02M000578
Claims
1
Attributed to this person
Charged
324.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
64.80
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 | WENDY QUINN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B02M000578 |
| Date of birth | 23 Oct 2004 |
| Plan | GOLD PPO |
| Covered from | 25 Dec 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 64.80 |
| Total | 64.80 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002439 | 7 Aug 2026 | 324.00 | MERIDIAN HEALTH PLAN | Not denied | — |