AMARA MURPHY
Dependent on policy B09M000034
Claims
3
Attributed to this person
Charged
1,617.00
Total submitted
Denied
780.00
2 denied claims
Patient responsibility
167.40
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 | AMARA MURPHY |
| Role on the policy | Dependent · relationship 01 |
| Policy | B09M000034 |
| Date of birth | 3 Apr 1979 |
| Plan | GOLD PPO |
| Covered from | 15 May 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 167.40 |
| Total | 167.40 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000156 | 23 Feb 2025 | 837.00 | CASCADE CARE | Not denied | — |
| CLM0000158 | 22 Jun 2024 | 324.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 324.00 |
| CLM0000157 | 28 Apr 2024 | 456.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 456.00 |