DenialIntel

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Members›policy B07M000041›RAVI MURPHY

RAVI MURPHY

Dependent on policy B07M000041

Claims
3
Attributed to this person
Charged
1,981.00
Total submitted
Denied
264.54
1 denied claims
Patient responsibility
61.65
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

FieldValue
NameRAVI MURPHY
Role on the policyDependent · relationship 19
PolicyB07M000041
Date of birth2 Aug 2006
PlanGOLD PPO
Covered from11 Feb 2025
Covered toopen

Patient responsibility reported on the 835

ReasonAdjustmentsAmount reported
CARC 1 · Deductible161.65
Total61.65

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000019830 Jun 2026411.00NORTHSTAR MUTUALNot denied—
CLM000019719 Nov 2025783.00NORTHSTAR MUTUALNot denied—
CLM000019619 Feb 2025787.00NORTHSTAR MUTUALCARC 27 · ELIGIBILITY264.54