TOMAS MURPHY
Subscriber on policy B06M000510
Claims
3
Attributed to this person
Charged
2,084.00
Total submitted
Denied
202.23
2 denied claims
Patient responsibility
554.45
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 | TOMAS MURPHY |
| Role on the policy | Subscriber |
| Policy | B06M000510 |
| Date of birth | 2 Sep 1975 |
| Plan | PLATINUM PPO |
| Covered from | 28 Apr 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 50 · Other | 1 | 554.45 |
| Total | 554.45 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002269 | 22 Jun 2026 | 853.00 | CASCADE CARE | CARC 50 · MEDICAL_NECESSITY | 0.00 |
| CLM0002270 | 11 Mar 2026 | 797.00 | CASCADE CARE | Not denied | — |
| CLM0002271 | 31 Dec 2025 | 434.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 202.23 |