RAVI QUINN
Subscriber on policy B05M000773
Claims
1
Attributed to this person
Charged
306.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
45.90
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 | B05M000773 |
| Date of birth | 19 Feb 1970 |
| Plan | GOLD PPO |
| Covered from | 4 Jan 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 45.90 |
| Total | 45.90 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003303 | 23 Feb 2026 | 306.00 | CASCADE CARE | Not denied | — |