GRACE MURPHY
Subscriber on policy B09M000687
Claims
3
Attributed to this person
Charged
1,555.00
Total submitted
Denied
733.00
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 — 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 | Subscriber |
| Policy | B09M000687 |
| Date of birth | 5 Oct 2001 |
| Plan | BRONZE EPO |
| Covered from | 12 May 2024 |
| Covered to | 26 Dec 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002926 | 23 Jan 2025 | 733.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 733.00 |
| CLM0002927 | 4 Jul 2024 | 472.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002928 | 26 May 2024 | 350.00 | NORTHSTAR MUTUAL | Not denied | — |