KEVIN QUINN
Dependent on policy B01M000007
Claims
2
Attributed to this person
Charged
592.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
39.15
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 | KEVIN QUINN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B01M000007 |
| Date of birth | 5 Aug 1960 |
| Plan | PLATINUM PPO |
| Covered from | 10 Mar 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 39.15 |
| Total | 39.15 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000024 | 20 Apr 2025 | 261.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000023 | 22 Apr 2024 | 331.00 | MERIDIAN HEALTH PLAN | Not denied | — |