RAVI MURPHY
Subscriber on policy B10M000378
Claims
1
Attributed to this person
Charged
338.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
219.70
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 | RAVI MURPHY |
| Role on the policy | Subscriber |
| Policy | B10M000378 |
| Date of birth | 6 Jan 2003 |
| Plan | SILVER HMO |
| Covered from | 22 Mar 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 50 · Other | 1 | 219.70 |
| Total | 219.70 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001567 | 14 Mar 2026 | 338.00 | NORTHSTAR MUTUAL | CARC 50 · MEDICAL_NECESSITY | 0.00 |