WENDY MURPHY
Subscriber on policy B06M000180
Claims
1
Attributed to this person
Charged
809.00
Total submitted
Denied
809.00
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 โ 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 | WENDY MURPHY |
| Role on the policy | Subscriber |
| Policy | B06M000180 |
| Date of birth | 13 May 1973 |
| Plan | PLATINUM PPO |
| Covered from | 10 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 |
|---|---|---|---|---|---|
| CLM0000879 | 20 Jan 2024 | 809.00 | CASCADE CARE | CARC 27 ยท ELIGIBILITY | 809.00 |