KEVIN MURPHY
Subscriber on policy B08M000360
Claims
1
Attributed to this person
Charged
119.00
Total submitted
Denied
119.00
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 โ 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 | KEVIN MURPHY |
| Role on the policy | Subscriber |
| Policy | B08M000360 |
| Date of birth | 17 May 1984 |
| Plan | GOLD PPO |
| Covered from | 23 Jun 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 |
|---|---|---|---|---|---|
| CLM0001649 | 2 Jan 2025 | 119.00 | MERIDIAN HEALTH PLAN | CARC 50 ยท MEDICAL_NECESSITY | 119.00 |