BRIAN MURPHY
Subscriber on policy B03M000404
Claims
2
Attributed to this person
Charged
1,388.00
Total submitted
Denied
910.15
2 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 | Subscriber |
| Policy | B03M000404 |
| Date of birth | 27 Apr 1996 |
| Plan | GOLD PPO |
| Covered from | 16 Apr 2025 |
| Covered to | 25 Oct 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001646 | 15 Nov 2025 | 500.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 500.00 |
| CLM0001647 | 14 Oct 2025 | 888.00 | MERIDIAN HEALTH PLAN | CARC 16 · BILLING_ERROR | 410.15 |