GRACE MURPHY
Subscriber on policy B07M000729
Claims
2
Attributed to this person
Charged
1,081.00
Total submitted
Denied
1,081.00
2 denied claims
Patient responsibility
0.00
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 | GRACE MURPHY |
| Role on the policy | Subscriber |
| Policy | B07M000729 |
| Date of birth | 23 Sep 1968 |
| Plan | GOLD PPO |
| Covered from | 13 Jan 2024 |
| Covered to | open |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003013 | 28 Nov 2024 | 854.00 | CASCADE CARE | CARC 96 · NON_COVERED | 854.00 |
| CLM0003014 | 22 Nov 2024 | 227.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 227.00 |