NADIA MURPHY
Dependent on policy B02M000584
Claims
3
Attributed to this person
Charged
1,203.00
Total submitted
Denied
87.69
1 denied claims
Patient responsibility
175.80
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 | NADIA MURPHY |
| Role on the policy | Dependent · relationship 01 |
| Policy | B02M000584 |
| Date of birth | 2 Mar 1995 |
| Plan | GOLD PPO |
| Covered from | 8 Sep 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 175.80 |
| Total | 175.80 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002463 | 1 Oct 2025 | 879.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002461 | 27 Dec 2024 | 144.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002462 | 19 Sep 2024 | 180.00 | NORTHSTAR MUTUAL | CARC 11 · CODING | 87.69 |