NADIA MURPHY
Subscriber on policy B01M000732
Claims
2
Attributed to this person
Charged
1,271.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
112.20
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 | NADIA MURPHY |
| Role on the policy | Subscriber |
| Policy | B01M000732 |
| Date of birth | 19 Oct 1965 |
| Plan | BRONZE EPO |
| Covered from | 25 Jun 2024 |
| Covered to | 3 Apr 2025 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 112.20 |
| Total | 112.20 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003256 | 25 Apr 2025 | 523.00 | CASCADE CARE | Not denied | — |
| CLM0003257 | 2 Nov 2024 | 748.00 | CASCADE CARE | Not denied | — |