DAVID QUINN
Subscriber on policy B06M000128
Claims
3
Attributed to this person
Charged
987.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
20.85
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 | DAVID QUINN |
| Role on the policy | Subscriber |
| Policy | B06M000128 |
| Date of birth | 13 Sep 1953 |
| Plan | PLATINUM PPO |
| Covered from | 11 Jun 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 20.85 |
| Total | 20.85 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000627 | 15 Jul 2026 | 139.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000629 | 17 Mar 2026 | 678.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000628 | 7 Jun 2024 | 170.00 | MERIDIAN HEALTH PLAN | Not denied | — |