NADIA MURPHY
Dependent on policy B08M000026
Claims
2
Attributed to this person
Charged
854.00
Total submitted
Denied
721.00
2 denied claims
Patient responsibility
86.45
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 | NADIA MURPHY |
| Role on the policy | Dependent · relationship 01 |
| Policy | B08M000026 |
| Date of birth | 7 Nov 1988 |
| Plan | BRONZE EPO |
| Covered from | 16 Mar 2024 |
| Covered to | 21 May 2024 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 50 · Other | 1 | 86.45 |
| Total | 86.45 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000121 | 15 Jun 2024 | 133.00 | MERIDIAN HEALTH PLAN | CARC 50 · MEDICAL_NECESSITY | 0.00 |
| CLM0000120 | 25 May 2024 | 721.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 721.00 |