ZARA MURPHY
Subscriber on policy B10M000699
Claims
3
Attributed to this person
Charged
913.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
109.20
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 | ZARA MURPHY |
| Role on the policy | Subscriber |
| Policy | B10M000699 |
| Date of birth | 12 Mar 1989 |
| Plan | GOLD PPO |
| Covered from | 27 Sep 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 96 · Other | 1 | 109.20 |
| Total | 109.20 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002926 | 28 Nov 2025 | 168.00 | NORTHSTAR MUTUAL | CARC 96 · NON_COVERED | 0.00 |
| CLM0002928 | 23 Aug 2025 | 370.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002927 | 24 Dec 2024 | 375.00 | NORTHSTAR MUTUAL | Not denied | — |