TOMAS MURPHY
Subscriber on policy B09M000177
Claims
3
Attributed to this person
Charged
1,812.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
274.30
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 | TOMAS MURPHY |
| Role on the policy | Subscriber |
| Policy | B09M000177 |
| Date of birth | 23 Dec 1982 |
| Plan | SILVER HMO |
| Covered from | 17 Jan 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 50 · Other | 1 | 274.30 |
| Total | 274.30 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000740 | 27 Dec 2025 | 635.00 | CASCADE CARE | Not denied | — |
| CLM0000739 | 5 Jul 2025 | 422.00 | CASCADE CARE | CARC 50 · MEDICAL_NECESSITY | 0.00 |
| CLM0000738 | 19 Mar 2025 | 755.00 | CASCADE CARE | Not denied | — |