OMAR MURPHY
Subscriber on policy B02M000842
Claims
3
Attributed to this person
Charged
2,058.00
Total submitted
Denied
844.00
1 denied claims
Patient responsibility
80.25
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 | OMAR MURPHY |
| Role on the policy | Subscriber |
| Policy | B02M000842 |
| Date of birth | 17 Jan 1964 |
| Plan | SILVER HMO |
| Covered from | 24 Jun 2024 |
| Covered to | 1 Mar 2025 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 80.25 |
| Total | 80.25 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003509 | 1 Mar 2025 | 679.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003508 | 1 Dec 2024 | 844.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 844.00 |
| CLM0003507 | 2 Jul 2024 | 535.00 | MERIDIAN HEALTH PLAN | Not denied | — |