NADIA QUINN
Dependent on policy B02M000769
Claims
3
Attributed to this person
Charged
1,312.00
Total submitted
Denied
688.00
1 denied claims
Patient responsibility
25.00
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 | NADIA QUINN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B02M000769 |
| Date of birth | 12 Oct 2011 |
| Plan | PLATINUM PPO |
| Covered from | 27 Apr 2025 |
| Covered to | 31 Dec 2025 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 3 · Copay | 1 | 25.00 |
| Total | 25.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003208 | 17 Dec 2025 | 257.00 | CASCADE CARE | Not denied | — |
| CLM0003209 | 2 Aug 2025 | 367.00 | CASCADE CARE | Not denied | — |
| CLM0003207 | 12 May 2025 | 688.00 | CASCADE CARE | CARC 18 · DUPLICATE | 688.00 |