GRACE MURPHY
Subscriber on policy B02M000291
Claims
2
Attributed to this person
Charged
761.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
30.90
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 | Subscriber |
| Policy | B02M000291 |
| Date of birth | 9 Jan 1963 |
| Plan | GOLD PPO |
| Covered from | 25 Dec 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 30.90 |
| Total | 30.90 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001250 | 16 Apr 2026 | 206.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001252 | 27 Mar 2026 | 555.00 | MERIDIAN HEALTH PLAN | Not denied | — |