KEVIN QUINN
Dependent on policy B05M000172
Claims
1
Attributed to this person
Charged
351.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
52.65
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 | B05M000172 |
| Date of birth | 31 Aug 1976 |
| Plan | PLATINUM PPO |
| Covered from | 15 Feb 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 52.65 |
| Total | 52.65 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000727 | 20 Jan 2026 | 351.00 | CASCADE CARE | Not denied | — |