DAVID MURPHY
Dependent on policy B09M000477
Claims
2
Attributed to this person
Charged
378.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
39.80
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 | DAVID MURPHY |
| Role on the policy | Dependent · relationship 19 |
| Policy | B09M000477 |
| Date of birth | 14 Jul 2011 |
| Plan | SILVER HMO |
| Covered from | 28 May 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 39.80 |
| Total | 39.80 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002018 | 27 Mar 2026 | 179.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002019 | 14 Jul 2024 | 199.00 | MERIDIAN HEALTH PLAN | Not denied | — |