GRACE MURPHY
Subscriber on policy B06M000296
Claims
2
Attributed to this person
Charged
185.00
Total submitted
Denied
0.00
0 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 | GRACE MURPHY |
| Role on the policy | Subscriber |
| Policy | B06M000296 |
| Date of birth | 20 Nov 1991 |
| Plan | PLATINUM PPO |
| Covered from | 30 Mar 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 |
|---|---|---|---|---|---|
| CLM0001362 | 22 Dec 2024 | 85.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001363 | 18 Mar 2024 | 100.00 | NORTHSTAR MUTUAL | Not denied | — |