LEILA MURPHY
Subscriber on policy B02M000309
Claims
2
Attributed to this person
Charged
448.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
78.00
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 | LEILA MURPHY |
| Role on the policy | Subscriber |
| Policy | B02M000309 |
| Date of birth | 24 Jul 1988 |
| Plan | PLATINUM PPO |
| Covered from | 21 Jul 2024 |
| Covered to | 2 Mar 2025 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 96 · Other | 1 | 78.00 |
| Total | 78.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001328 | 14 Oct 2024 | 120.00 | MERIDIAN HEALTH PLAN | CARC 96 · NON_COVERED | 0.00 |
| CLM0001327 | 9 Oct 2024 | 328.00 | MERIDIAN HEALTH PLAN | Not denied | — |