OMAR QUINN
Dependent on policy B06M000094
Claims
2
Attributed to this person
Charged
972.00
Total submitted
Denied
250.00
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 | OMAR QUINN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B06M000094 |
| Date of birth | 29 Aug 1967 |
| Plan | SILVER HMO |
| Covered from | 27 Jan 2024 |
| 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 |
|---|---|---|---|---|---|
| CLM0000488 | 5 Oct 2025 | 250.00 | MERIDIAN HEALTH PLAN | CARC 16 · BILLING_ERROR | 250.00 |
| CLM0000489 | 22 Feb 2024 | 722.00 | MERIDIAN HEALTH PLAN | Not denied | — |