OMAR QUINN
Dependent on policy B02M000769
Claims
1
Attributed to this person
Charged
718.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
107.70
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 | OMAR QUINN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B02M000769 |
| Date of birth | 16 Oct 1964 |
| Plan | PLATINUM PPO |
| Covered from | 27 Apr 2025 |
| Covered to | 31 Dec 2025 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 107.70 |
| Total | 107.70 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003206 | 11 Feb 2026 | 718.00 | CASCADE CARE | Not denied | — |