VICTOR MURPHY
Subscriber on policy B10M000351
Claims
3
Attributed to this person
Charged
1,721.00
Total submitted
Denied
654.00
1 denied claims
Patient responsibility
20.00
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 | VICTOR MURPHY |
| Role on the policy | Subscriber |
| Policy | B10M000351 |
| Date of birth | 31 Jan 1951 |
| Plan | SILVER HMO |
| Covered from | 10 Jun 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 3 · Copay | 1 | 20.00 |
| Total | 20.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001468 | 5 Oct 2025 | 681.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001466 | 8 Aug 2025 | 654.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 654.00 |
| CLM0001467 | 24 Feb 2025 | 386.00 | NORTHSTAR MUTUAL | Not denied | — |