IVAN QUINN
Subscriber on policy B03M000030
Claims
3
Attributed to this person
Charged
1,208.00
Total submitted
Denied
493.00
1 denied claims
Patient responsibility
64.35
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 | IVAN QUINN |
| Role on the policy | Subscriber |
| Policy | B03M000030 |
| Date of birth | 20 Mar 1950 |
| Plan | BRONZE EPO |
| Covered from | 10 Jan 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 64.35 |
| Total | 64.35 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000139 | 25 Nov 2025 | 286.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000140 | 18 Jul 2025 | 429.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000141 | 13 Sep 2024 | 493.00 | MERIDIAN HEALTH PLAN | CARC 109 · COB | 493.00 |