UMA MURPHY
Dependent on policy B10M000374
Claims
3
Attributed to this person
Charged
745.00
Total submitted
Denied
284.00
1 denied claims
Patient responsibility
30.00
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 | UMA MURPHY |
| Role on the policy | Dependent · relationship 19 |
| Policy | B10M000374 |
| Date of birth | 9 Aug 1977 |
| Plan | BRONZE EPO |
| Covered from | 18 Sep 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 3 · Copay | 1 | 30.00 |
| Total | 30.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001558 | 30 May 2025 | 358.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001559 | 19 Apr 2025 | 103.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001557 | 6 Nov 2024 | 284.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 284.00 |