AMARA MURPHY
Subscriber on policy B02M000739
Claims
2
Attributed to this person
Charged
674.00
Total submitted
Denied
520.00
1 denied claims
Patient responsibility
30.80
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 | Subscriber |
| Policy | B02M000739 |
| Date of birth | 2 Dec 1998 |
| Plan | GOLD PPO |
| Covered from | 20 Oct 2024 |
| Covered to | 10 Jun 2025 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 30.80 |
| Total | 30.80 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003089 | 8 Aug 2025 | 154.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003088 | 7 Jan 2025 | 520.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 520.00 |