GRACE QUINN
Subscriber on policy B02M000868
Claims
3
Attributed to this person
Charged
948.00
Total submitted
Denied
948.00
3 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 | GRACE QUINN |
| Role on the policy | Subscriber |
| Policy | B02M000868 |
| Date of birth | 19 Aug 1992 |
| Plan | BRONZE EPO |
| Covered from | 25 Sep 2024 |
| Covered to | 31 May 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003625 | 29 May 2025 | 632.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 632.00 |
| CLM0003624 | 16 Feb 2025 | 243.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 243.00 |
| CLM0003626 | 12 Sep 2024 | 73.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 73.00 |