SOFIA MURPHY
Subscriber on policy B02M000584
Claims
3
Attributed to this person
Charged
1,269.00
Total submitted
Denied
200.00
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 | SOFIA MURPHY |
| Role on the policy | Subscriber |
| Policy | B02M000584 |
| Date of birth | 6 Jul 1998 |
| Plan | GOLD PPO |
| Covered from | 8 Sep 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 |
|---|---|---|---|---|---|
| CLM0002460 | 28 Jan 2026 | 211.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002459 | 10 Feb 2025 | 200.00 | NORTHSTAR MUTUAL | CARC 109 · COB | 200.00 |
| CLM0002458 | 24 Jan 2025 | 858.00 | NORTHSTAR MUTUAL | Not denied | — |