GRACE QUINN
Dependent on policy B03M000473
Claims
2
Attributed to this person
Charged
772.00
Total submitted
Denied
367.00
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 | GRACE QUINN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B03M000473 |
| Date of birth | 19 Sep 2001 |
| Plan | SILVER HMO |
| Covered from | 4 Mar 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 |
|---|---|---|---|---|---|
| CLM0001977 | 11 Jun 2026 | 367.00 | CASCADE CARE | CARC 96 · NON_COVERED | 367.00 |
| CLM0001976 | 30 Nov 2025 | 405.00 | CASCADE CARE | Not denied | — |