NADIA MURPHY
Dependent on policy B07M000362
Claims
3
Attributed to this person
Charged
1,805.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
135.80
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 | NADIA MURPHY |
| Role on the policy | Dependent · relationship 19 |
| Policy | B07M000362 |
| Date of birth | 17 Sep 2016 |
| Plan | GOLD PPO |
| Covered from | 3 Apr 2024 |
| Covered to | 11 Jan 2025 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 135.80 |
| Total | 135.80 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001540 | 13 Aug 2024 | 679.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001542 | 21 Jul 2024 | 526.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001541 | 6 Apr 2024 | 600.00 | NORTHSTAR MUTUAL | Not denied | — |