JULIA MURPHY
Dependent on policy B07M000831
Claims
3
Attributed to this person
Charged
691.00
Total submitted
Denied
593.00
3 denied claims
Patient responsibility
63.70
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 | JULIA MURPHY |
| Role on the policy | Dependent · relationship 01 |
| Policy | B07M000831 |
| Date of birth | 17 Mar 2004 |
| Plan | GOLD PPO |
| Covered from | 28 Jun 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 96 · Other | 1 | 63.70 |
| Total | 63.70 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003409 | 20 Jan 2025 | 470.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 470.00 |
| CLM0003410 | 19 Dec 2024 | 123.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 123.00 |
| CLM0003408 | 6 Dec 2024 | 98.00 | MERIDIAN HEALTH PLAN | CARC 96 · NON_COVERED | 0.00 |