KEVIN QUINN
Dependent on policy B05M000773
Claims
3
Attributed to this person
Charged
1,412.00
Total submitted
Denied
802.00
2 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 | KEVIN QUINN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B05M000773 |
| Date of birth | 9 May 2011 |
| Plan | GOLD PPO |
| Covered from | 4 Jan 2025 |
| Covered to | open |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003308 | 25 Jun 2025 | 347.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 347.00 |
| CLM0003307 | 24 Mar 2025 | 455.00 | CASCADE CARE | CARC 96 · NON_COVERED | 455.00 |
| CLM0003309 | 13 Dec 2024 | 610.00 | CASCADE CARE | Not denied | — |