SOFIA MURPHY
Subscriber on policy B01M000352
Claims
3
Attributed to this person
Charged
2,375.00
Total submitted
Denied
14.41
1 denied claims
Patient responsibility
120.90
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 | SOFIA MURPHY |
| Role on the policy | Subscriber |
| Policy | B01M000352 |
| Date of birth | 4 Apr 1958 |
| Plan | GOLD PPO |
| Covered from | 2 Nov 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 120.90 |
| Total | 120.90 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001554 | 13 Jul 2026 | 806.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001552 | 22 Apr 2026 | 800.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001553 | 29 Apr 2025 | 769.00 | MERIDIAN HEALTH PLAN | CARC 50 · MEDICAL_NECESSITY | 14.41 |