RAVI QUINN
Subscriber on policy B05M000701
Claims
2
Attributed to this person
Charged
760.00
Total submitted
Denied
220.31
1 denied claims
Patient responsibility
51.80
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 | RAVI QUINN |
| Role on the policy | Subscriber |
| Policy | B05M000701 |
| Date of birth | 2 Dec 1977 |
| Plan | BRONZE EPO |
| Covered from | 20 Apr 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 51.80 |
| Total | 51.80 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003014 | 20 May 2026 | 501.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 220.31 |
| CLM0003015 | 3 Apr 2026 | 259.00 | CASCADE CARE | Not denied | — |