WENDY MURPHY
Subscriber on policy B10M000888
Claims
3
Attributed to this person
Charged
1,597.00
Total submitted
Denied
640.00
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 | WENDY MURPHY |
| Role on the policy | Subscriber |
| Policy | B10M000888 |
| Date of birth | 30 Aug 1983 |
| Plan | SILVER HMO |
| Covered from | 3 Jan 2024 |
| Covered to | 30 Sep 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 |
|---|---|---|---|---|---|
| CLM0003779 | 4 Nov 2024 | 640.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 640.00 |
| CLM0003778 | 8 Oct 2024 | 890.00 | CASCADE CARE | Not denied | — |
| CLM0003777 | 16 May 2024 | 67.00 | CASCADE CARE | Not denied | — |