IVAN QUINN
Subscriber on policy B03M000336
Claims
3
Attributed to this person
Charged
1,567.00
Total submitted
Denied
664.00
2 denied claims
Patient responsibility
150.15
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 | B03M000336 |
| Date of birth | 12 Feb 1971 |
| Plan | GOLD PPO |
| Covered from | 24 May 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 50 · Other | 1 | 150.15 |
| Total | 150.15 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001345 | 7 Feb 2026 | 231.00 | CASCADE CARE | CARC 50 · MEDICAL_NECESSITY | 0.00 |
| CLM0001347 | 21 Jan 2026 | 672.00 | CASCADE CARE | Not denied | — |
| CLM0001346 | 29 Jun 2025 | 664.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 664.00 |