VICTOR MURPHY
Dependent on policy B07M000729
Claims
3
Attributed to this person
Charged
1,703.00
Total submitted
Denied
66.00
1 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 | VICTOR MURPHY |
| Role on the policy | Dependent · relationship 19 |
| Policy | B07M000729 |
| Date of birth | 16 Mar 2002 |
| 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 |
|---|---|---|---|---|---|
| CLM0003018 | 9 Jan 2025 | 817.00 | CASCADE CARE | Not denied | — |
| CLM0003017 | 5 Nov 2024 | 820.00 | CASCADE CARE | Not denied | — |
| CLM0003016 | 18 Feb 2024 | 66.00 | CASCADE CARE | CARC 96 · NON_COVERED | 66.00 |