HENRY MURPHY
Dependent on policy B06M000898
Claims
1
Attributed to this person
Charged
757.00
Total submitted
Denied
326.96
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 | HENRY MURPHY |
| Role on the policy | Dependent · relationship 01 |
| Policy | B06M000898 |
| Date of birth | 5 Jan 1975 |
| Plan | SILVER HMO |
| Covered from | 2 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 |
|---|---|---|---|---|---|
| CLM0003925 | 15 Jan 2025 | 757.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 326.96 |