UMA MURPHY
Subscriber on policy B09M000263
Claims
3
Attributed to this person
Charged
1,758.00
Total submitted
Denied
861.00
2 denied claims
Patient responsibility
128.05
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 | UMA MURPHY |
| Role on the policy | Subscriber |
| Policy | B09M000263 |
| Date of birth | 15 Apr 1981 |
| Plan | BRONZE EPO |
| Covered from | 16 Oct 2024 |
| Covered to | 21 Jul 2025 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 50 · Other | 1 | 128.05 |
| Total | 128.05 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001085 | 15 Sep 2025 | 861.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 861.00 |
| CLM0001084 | 30 Jun 2025 | 700.00 | CASCADE CARE | Not denied | — |
| CLM0001083 | 23 Feb 2025 | 197.00 | CASCADE CARE | CARC 50 · MEDICAL_NECESSITY | 0.00 |