KEVIN MURPHY
Subscriber on policy B03M000124
Claims
3
Attributed to this person
Charged
907.00
Total submitted
Denied
182.00
1 denied claims
Patient responsibility
114.20
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 | KEVIN MURPHY |
| Role on the policy | Subscriber |
| Policy | B03M000124 |
| Date of birth | 21 Aug 1981 |
| Plan | PLATINUM PPO |
| Covered from | 8 Jun 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 114.20 |
| Total | 114.20 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000491 | 5 Jul 2026 | 182.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 182.00 |
| CLM0000492 | 29 Jan 2026 | 571.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000490 | 9 Aug 2025 | 154.00 | NORTHSTAR MUTUAL | Not denied | — |