BRIAN MURPHY
Dependent on policy B02M000002
Claims
2
Attributed to this person
Charged
455.00
Total submitted
Denied
278.00
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 | BRIAN MURPHY |
| Role on the policy | Dependent · relationship 19 |
| Policy | B02M000002 |
| Date of birth | 3 Feb 2013 |
| Plan | SILVER HMO |
| Covered from | 1 Apr 2024 |
| Covered to | open |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000019 | 13 Jan 2026 | 177.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000020 | 15 Jun 2024 | 278.00 | NORTHSTAR MUTUAL | CARC 16 · BILLING_ERROR | 278.00 |