DAVID MURPHY
Dependent on policy B09M000263
Claims
1
Attributed to this person
Charged
76.00
Total submitted
Denied
76.00
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 | DAVID MURPHY |
| Role on the policy | Dependent · relationship 01 |
| Policy | B09M000263 |
| Date of birth | 1 Sep 1984 |
| Plan | BRONZE EPO |
| Covered from | 16 Oct 2024 |
| Covered to | 21 Jul 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001086 | 25 May 2025 | 76.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 76.00 |