HENRY MURPHY
Subscriber on policy B06M000784
Claims
1
Attributed to this person
Charged
288.00
Total submitted
Denied
288.00
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 | Subscriber |
| Policy | B06M000784 |
| Date of birth | 5 Dec 1991 |
| Plan | GOLD PPO |
| Covered from | 7 Jun 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 |
|---|---|---|---|---|---|
| CLM0003455 | 28 Nov 2024 | 288.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 288.00 |