OMAR MURPHY
Subscriber on policy B06M000669
Claims
3
Attributed to this person
Charged
1,854.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
169.00
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 | Subscriber |
| Policy | B06M000669 |
| Date of birth | 28 Mar 1991 |
| Plan | GOLD PPO |
| Covered from | 11 Mar 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 169.00 |
| Total | 169.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002964 | 5 Mar 2026 | 194.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002962 | 19 Jul 2025 | 845.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002963 | 12 Apr 2025 | 815.00 | NORTHSTAR MUTUAL | Not denied | — |