TOMAS MURPHY
Dependent on policy B10M000699
Claims
2
Attributed to this person
Charged
1,349.00
Total submitted
Denied
859.00
1 denied claims
Patient responsibility
0.00
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 | TOMAS MURPHY |
| Role on the policy | Dependent · relationship 19 |
| Policy | B10M000699 |
| Date of birth | 18 Jan 2011 |
| Plan | GOLD PPO |
| Covered from | 27 Sep 2024 |
| Covered to | open |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002931 | 26 Jul 2026 | 490.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002930 | 16 Sep 2024 | 859.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 859.00 |