NADIA MURPHY
Subscriber on policy B09M000383
Claims
3
Attributed to this person
Charged
1,333.00
Total submitted
Denied
1,152.00
2 denied claims
Patient responsibility
36.20
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 | NADIA MURPHY |
| Role on the policy | Subscriber |
| Policy | B09M000383 |
| Date of birth | 1 Sep 1978 |
| Plan | SILVER HMO |
| Covered from | 28 Dec 2024 |
| Covered to | 20 Apr 2025 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 36.20 |
| Total | 36.20 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001597 | 22 May 2025 | 529.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 529.00 |
| CLM0001598 | 16 Feb 2025 | 181.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001599 | 18 Dec 2024 | 623.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 623.00 |