OMAR MURPHY
Dependent on policy B06M000397
Claims
3
Attributed to this person
Charged
1,743.00
Total submitted
Denied
972.54
3 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 MURPHY |
| Role on the policy | Dependent · relationship 01 |
| Policy | B06M000397 |
| Date of birth | 12 Nov 2000 |
| Plan | PLATINUM PPO |
| Covered from | 4 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 |
|---|---|---|---|---|---|
| CLM0001806 | 7 Jun 2026 | 590.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 590.00 |
| CLM0001807 | 4 Aug 2025 | 412.00 | NORTHSTAR MUTUAL | CARC 50 · MEDICAL_NECESSITY | 196.91 |
| CLM0001805 | 17 Jul 2024 | 741.00 | NORTHSTAR MUTUAL | CARC 11 · CODING | 185.63 |