KEVIN QUINN
Subscriber on policy B04M000423
Claims
1
Attributed to this person
Charged
77.00
Total submitted
Denied
77.00
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 โ 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 | KEVIN QUINN |
| Role on the policy | Subscriber |
| Policy | B04M000423 |
| Date of birth | 23 Sep 1967 |
| Plan | SILVER HMO |
| Covered from | 14 Apr 2024 |
| 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 |
|---|---|---|---|---|---|
| CLM0001819 | 24 Jan 2026 | 77.00 | MERIDIAN HEALTH PLAN | CARC 197 ยท AUTHORIZATION | 77.00 |