GRACE MURPHY
Dependent on policy B08M000045
Claims
3
Attributed to this person
Charged
1,689.00
Total submitted
Denied
710.00
1 denied claims
Patient responsibility
113.20
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 01 |
| Policy | B08M000045 |
| Date of birth | 16 Apr 2002 |
| Plan | SILVER HMO |
| Covered from | 11 Jun 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 113.20 |
| Total | 113.20 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000187 | 21 Nov 2025 | 413.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000186 | 29 Sep 2025 | 710.00 | MERIDIAN HEALTH PLAN | CARC 18 · DUPLICATE | 710.00 |
| CLM0000188 | 28 May 2025 | 566.00 | MERIDIAN HEALTH PLAN | Not denied | — |