AMARA QUINN
Dependent on policy B02M000885
Claims
1
Attributed to this person
Charged
837.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
544.05
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 | AMARA QUINN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B02M000885 |
| Date of birth | 30 Mar 1994 |
| Plan | GOLD PPO |
| Covered from | 21 Feb 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 50 · Other | 1 | 544.05 |
| Total | 544.05 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003681 | 26 Jul 2025 | 837.00 | CASCADE CARE | CARC 50 · MEDICAL_NECESSITY | 0.00 |