JULIA MURPHY
Subscriber on policy B02M000115
Claims
3
Attributed to this person
Charged
2,073.00
Total submitted
Denied
612.00
1 denied claims
Patient responsibility
134.80
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 | JULIA MURPHY |
| Role on the policy | Subscriber |
| Policy | B02M000115 |
| Date of birth | 6 Apr 1958 |
| Plan | BRONZE EPO |
| Covered from | 25 Apr 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 134.80 |
| Total | 134.80 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000519 | 21 Aug 2025 | 787.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000521 | 24 Jun 2025 | 612.00 | NORTHSTAR MUTUAL | CARC 18 · DUPLICATE | 612.00 |
| CLM0000520 | 30 Apr 2025 | 674.00 | NORTHSTAR MUTUAL | Not denied | — |