CARLA MURPHY
Dependent on policy B01M000887
Claims
3
Attributed to this person
Charged
1,189.00
Total submitted
Denied
228.25
1 denied claims
Patient responsibility
37.80
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 | CARLA MURPHY |
| Role on the policy | Dependent · relationship 01 |
| Policy | B01M000887 |
| Date of birth | 22 Nov 1986 |
| Plan | BRONZE EPO |
| Covered from | 12 Apr 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 37.80 |
| Total | 37.80 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003934 | 31 Jul 2026 | 473.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003933 | 9 Dec 2025 | 252.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003932 | 11 Aug 2025 | 464.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 228.25 |