GRACE MURPHY
Dependent on policy B10M000890
Claims
3
Attributed to this person
Charged
1,373.00
Total submitted
Denied
106.60
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 | GRACE MURPHY |
| Role on the policy | Dependent · relationship 01 |
| Policy | B10M000890 |
| Date of birth | 26 Aug 1971 |
| Plan | GOLD PPO |
| Covered from | 24 Aug 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 |
|---|---|---|---|---|---|
| CLM0003790 | 14 Dec 2025 | 781.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003791 | 29 Jun 2025 | 341.00 | NORTHSTAR MUTUAL | CARC 11 · CODING | 106.60 |
| CLM0003789 | 20 Jun 2025 | 251.00 | NORTHSTAR MUTUAL | Not denied | — |