PRIYA MURPHY
Dependent on policy B10M000345
Claims
1
Attributed to this person
Charged
251.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
163.15
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 | PRIYA MURPHY |
| Role on the policy | Dependent · relationship 01 |
| Policy | B10M000345 |
| Date of birth | 10 Dec 2009 |
| Plan | GOLD PPO |
| Covered from | 27 Nov 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 96 · Other | 1 | 163.15 |
| Total | 163.15 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001442 | 22 Aug 2026 | 251.00 | MERIDIAN HEALTH PLAN | CARC 96 · NON_COVERED | 0.00 |