GRACE MURPHY
Dependent on policy B07M000880
Claims
1
Attributed to this person
Charged
74.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
48.10
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 | Dependent · relationship 19 |
| Policy | B07M000880 |
| Date of birth | 21 Apr 2001 |
| Plan | BRONZE EPO |
| Covered from | 8 Feb 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 50 · Other | 1 | 48.10 |
| Total | 48.10 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003641 | 3 Dec 2025 | 74.00 | CASCADE CARE | CARC 50 · MEDICAL_NECESSITY | 0.00 |