LEILA QUINN
Subscriber on policy B02M000880
Claims
3
Attributed to this person
Charged
891.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
356.20
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 | LEILA QUINN |
| Role on the policy | Subscriber |
| Policy | B02M000880 |
| Date of birth | 6 Nov 1973 |
| Plan | PLATINUM PPO |
| Covered from | 16 Jan 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 96 · Other | 1 | 356.20 |
| Total | 356.20 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003662 | 1 Nov 2025 | 258.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003660 | 14 Sep 2025 | 548.00 | MERIDIAN HEALTH PLAN | CARC 96 · NON_COVERED | 0.00 |
| CLM0003661 | 2 Dec 2024 | 85.00 | MERIDIAN HEALTH PLAN | Not denied | — |