TOMAS MURPHY
Subscriber on policy B07M000655
Claims
2
Attributed to this person
Charged
645.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
114.40
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 | TOMAS MURPHY |
| Role on the policy | Subscriber |
| Policy | B07M000655 |
| Date of birth | 9 Sep 1968 |
| Plan | GOLD PPO |
| Covered from | 6 Jul 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 114.40 |
| Total | 114.40 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002730 | 17 Mar 2026 | 73.00 | CASCADE CARE | Not denied | — |
| CLM0002731 | 29 Dec 2024 | 572.00 | CASCADE CARE | Not denied | — |