OMAR QUINN
Subscriber on policy B01M000007
Claims
3
Attributed to this person
Charged
1,473.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
430.95
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 | OMAR QUINN |
| Role on the policy | Subscriber |
| Policy | B01M000007 |
| Date of birth | 13 Jul 1952 |
| Plan | PLATINUM PPO |
| Covered from | 10 Mar 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 96 · Other | 1 | 430.95 |
| Total | 430.95 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000021 | 15 May 2025 | 694.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000020 | 29 Oct 2024 | 663.00 | MERIDIAN HEALTH PLAN | CARC 96 · NON_COVERED | 0.00 |
| CLM0000022 | 20 Mar 2024 | 116.00 | MERIDIAN HEALTH PLAN | Not denied | — |