AMARA MURPHY
Dependent on policy B10M000799
Claims
1
Attributed to this person
Charged
328.00
Total submitted
Denied
328.00
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 | AMARA MURPHY |
| Role on the policy | Dependent · relationship 01 |
| Policy | B10M000799 |
| Date of birth | 8 Aug 1970 |
| Plan | GOLD PPO |
| Covered from | 16 Oct 2024 |
| Covered to | 23 Dec 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003372 | 25 Nov 2024 | 328.00 | NORTHSTAR MUTUAL | CARC 16 · BILLING_ERROR | 328.00 |