YUSUF QUINN
Subscriber on policy B05M000274
Claims
2
Attributed to this person
Charged
361.00
Total submitted
Denied
192.00
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 | YUSUF QUINN |
| Role on the policy | Subscriber |
| Policy | B05M000274 |
| Date of birth | 9 Oct 2003 |
| Plan | GOLD PPO |
| Covered from | 11 Jan 2024 |
| Covered to | 18 May 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001133 | 29 Jun 2024 | 192.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 192.00 |
| CLM0001134 | 4 May 2024 | 169.00 | MERIDIAN HEALTH PLAN | Not denied | — |