UMA MURPHY
Dependent on policy B06M000605
Claims
2
Attributed to this person
Charged
520.00
Total submitted
Denied
520.00
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 | UMA MURPHY |
| Role on the policy | Dependent · relationship 01 |
| Policy | B06M000605 |
| Date of birth | 5 Dec 1983 |
| Plan | SILVER HMO |
| Covered from | 5 Feb 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 |
|---|---|---|---|---|---|
| CLM0002696 | 6 Dec 2024 | 75.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 75.00 |
| CLM0002697 | 8 Nov 2024 | 445.00 | MERIDIAN HEALTH PLAN | CARC 109 · COB | 445.00 |