JULIA QUINN
Dependent on policy B05M000826
Claims
3
Attributed to this person
Charged
1,210.00
Total submitted
Denied
636.00
2 denied claims
Patient responsibility
316.55
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 | JULIA QUINN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B05M000826 |
| Date of birth | 12 Jan 2006 |
| Plan | PLATINUM PPO |
| Covered from | 23 Jun 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 96 · Other | 1 | 316.55 |
| Total | 316.55 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003500 | 29 May 2026 | 487.00 | MERIDIAN HEALTH PLAN | CARC 96 · NON_COVERED | 0.00 |
| CLM0003502 | 16 Nov 2025 | 636.00 | MERIDIAN HEALTH PLAN | CARC 96 · NON_COVERED | 636.00 |
| CLM0003501 | 18 Oct 2025 | 87.00 | MERIDIAN HEALTH PLAN | Not denied | — |