OMAR MURPHY
Subscriber on policy B10M000154
Claims
2
Attributed to this person
Charged
672.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
376.35
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 | OMAR MURPHY |
| Role on the policy | Subscriber |
| Policy | B10M000154 |
| Date of birth | 21 Jan 1956 |
| Plan | BRONZE EPO |
| Covered from | 14 Aug 2024 |
| Covered to | 29 Mar 2025 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 50 · Other | 1 | 376.35 |
| Total | 376.35 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000624 | 16 Jan 2025 | 93.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000623 | 19 Nov 2024 | 579.00 | MERIDIAN HEALTH PLAN | CARC 50 · MEDICAL_NECESSITY | 0.00 |