AMARA QUINN
Subscriber on policy B05M000404
Claims
1
Attributed to this person
Charged
553.00
Total submitted
Denied
553.00
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 | AMARA QUINN |
| Role on the policy | Subscriber |
| Policy | B05M000404 |
| Date of birth | 27 Aug 2001 |
| Plan | GOLD PPO |
| Covered from | 5 Nov 2024 |
| Covered to | 8 Jul 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001721 | 24 Jul 2025 | 553.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 553.00 |