AMARA MURPHY
Subscriber on policy B07M000474
Claims
3
Attributed to this person
Charged
1,318.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
67.65
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
| Field | Value |
|---|---|
| Name | AMARA MURPHY |
| Role on the policy | Subscriber |
| Policy | B07M000474 |
| Date of birth | 17 Dec 2001 |
| Plan | PLATINUM PPO |
| Covered from | 3 Dec 2024 |
| Covered to | 19 Sep 2025 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 67.65 |
| Total | 67.65 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002011 | 25 Jun 2025 | 325.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002013 | 20 Mar 2025 | 542.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002012 | 24 Jan 2025 | 451.00 | NORTHSTAR MUTUAL | Not denied | — |