KEVIN MURPHY
Subscriber on policy B10M000727
Claims
3
Attributed to this person
Charged
1,670.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
34.80
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 | KEVIN MURPHY |
| Role on the policy | Subscriber |
| Policy | B10M000727 |
| Date of birth | 28 Mar 1986 |
| Plan | SILVER HMO |
| Covered from | 2 Dec 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 34.80 |
| Total | 34.80 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003053 | 16 Jun 2025 | 652.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003052 | 27 May 2025 | 844.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003051 | 22 Dec 2024 | 174.00 | NORTHSTAR MUTUAL | Not denied | — |