WENDY QUINN
Dependent on policy B04M000189
Claims
3
Attributed to this person
Charged
1,837.00
Total submitted
Denied
690.00
1 denied claims
Patient responsibility
151.20
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 | WENDY QUINN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B04M000189 |
| Date of birth | 25 Nov 1957 |
| Plan | PLATINUM PPO |
| Covered from | 19 Jun 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 151.20 |
| Total | 151.20 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000846 | 14 Jan 2026 | 690.00 | CASCADE CARE | CARC 16 · BILLING_ERROR | 690.00 |
| CLM0000845 | 5 Mar 2025 | 391.00 | CASCADE CARE | Not denied | — |
| CLM0000844 | 21 Nov 2024 | 756.00 | CASCADE CARE | Not denied | — |