ELENA QUINN
Subscriber on policy B01M000038
Claims
1
Attributed to this person
Charged
867.00
Total submitted
Denied
867.00
1 denied claims
Patient responsibility
0.00
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 | ELENA QUINN |
| Role on the policy | Subscriber |
| Policy | B01M000038 |
| Date of birth | 18 Nov 1976 |
| Plan | SILVER HMO |
| Covered from | 24 Feb 2025 |
| Covered to | open |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000153 | 3 Dec 2025 | 867.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 867.00 |