NADIA QUINN
Subscriber on policy B05M000617
Claims
3
Attributed to this person
Charged
1,553.00
Total submitted
Denied
1,553.00
3 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 | NADIA QUINN |
| Role on the policy | Subscriber |
| Policy | B05M000617 |
| Date of birth | 1 Feb 1974 |
| Plan | GOLD PPO |
| Covered from | 27 Feb 2024 |
| Covered to | 7 Jun 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002651 | 28 Jul 2024 | 478.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 478.00 |
| CLM0002649 | 18 Jun 2024 | 632.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 632.00 |
| CLM0002650 | 15 Feb 2024 | 443.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 443.00 |