MARCUS QUINN
Dependent on policy B03M000710
Claims
1
Attributed to this person
Charged
836.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
30.00
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 | MARCUS QUINN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B03M000710 |
| Date of birth | 22 Aug 1949 |
| Plan | GOLD PPO |
| Covered from | 5 May 2025 |
| Covered to | 5 Dec 2025 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 3 · Copay | 1 | 30.00 |
| Total | 30.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002972 | 21 Oct 2025 | 836.00 | MERIDIAN HEALTH PLAN | Not denied | — |