NADIA MURPHY
Subscriber on policy B06M000722
Claims
2
Attributed to this person
Charged
397.00
Total submitted
Denied
255.00
1 denied claims
Patient responsibility
28.40
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 | NADIA MURPHY |
| Role on the policy | Subscriber |
| Policy | B06M000722 |
| Date of birth | 18 Dec 1992 |
| Plan | PLATINUM PPO |
| Covered from | 23 Mar 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 28.40 |
| Total | 28.40 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003230 | 26 Dec 2025 | 142.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003231 | 13 Jun 2025 | 255.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 255.00 |