SOFIA MURPHY
Dependent on policy B03M000404
Claims
3
Attributed to this person
Charged
1,891.00
Total submitted
Denied
651.00
1 denied claims
Patient responsibility
57.75
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 | Dependent · relationship 01 |
| Policy | B03M000404 |
| Date of birth | 18 Aug 1991 |
| Plan | GOLD PPO |
| Covered from | 16 Apr 2025 |
| Covered to | 25 Oct 2025 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 57.75 |
| Total | 57.75 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001648 | 21 Oct 2025 | 855.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001649 | 22 Sep 2025 | 385.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001650 | 20 Mar 2025 | 651.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 651.00 |