PRIYA QUINN
Dependent on policy B02M000885
Claims
2
Attributed to this person
Charged
1,467.00
Total submitted
Denied
409.39
1 denied claims
Patient responsibility
94.65
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 | PRIYA QUINN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B02M000885 |
| Date of birth | 17 Dec 1945 |
| Plan | GOLD PPO |
| Covered from | 21 Feb 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 94.65 |
| Total | 94.65 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003680 | 3 Jul 2026 | 836.00 | CASCADE CARE | CARC 29 · TIMELY_FILING | 409.39 |
| CLM0003679 | 22 Dec 2025 | 631.00 | CASCADE CARE | Not denied | — |