BRIAN QUINN
Dependent on policy B03M000473
Claims
1
Attributed to this person
Charged
74.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
11.10
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 | BRIAN QUINN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B03M000473 |
| Date of birth | 19 Jul 2016 |
| Plan | SILVER HMO |
| Covered from | 4 Mar 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 11.10 |
| Total | 11.10 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001981 | 30 Nov 2025 | 74.00 | CASCADE CARE | Not denied | — |