UMA MURPHY
Subscriber on policy B03M000859
Claims
1
Attributed to this person
Charged
218.00
Total submitted
Denied
218.00
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 โ 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 | UMA MURPHY |
| Role on the policy | Subscriber |
| Policy | B03M000859 |
| Date of birth | 14 Sep 1976 |
| Plan | BRONZE EPO |
| Covered from | 17 Nov 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 |
|---|---|---|---|---|---|
| CLM0003725 | 17 Dec 2025 | 218.00 | MERIDIAN HEALTH PLAN | CARC 96 ยท NON_COVERED | 218.00 |