UMA QUINN
Dependent on policy B02M000366
Claims
3
Attributed to this person
Charged
1,315.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
225.55
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 | Dependent · relationship 01 |
| Policy | B02M000366 |
| Date of birth | 6 Jun 1989 |
| Plan | GOLD PPO |
| Covered from | 14 Jun 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 96 · Other | 1 | 225.55 |
| Total | 225.55 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001567 | 27 Mar 2026 | 175.00 | CASCADE CARE | Not denied | — |
| CLM0001568 | 4 Oct 2025 | 347.00 | CASCADE CARE | CARC 96 · NON_COVERED | 0.00 |
| CLM0001566 | 3 Oct 2025 | 793.00 | CASCADE CARE | Not denied | — |