HENRY MURPHY
Subscriber on policy B03M000496
Claims
3
Attributed to this person
Charged
942.00
Total submitted
Denied
511.32
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 | HENRY MURPHY |
| Role on the policy | Subscriber |
| Policy | B03M000496 |
| Date of birth | 13 Mar 1995 |
| Plan | SILVER HMO |
| Covered from | 8 Aug 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 |
|---|---|---|---|---|---|
| CLM0002060 | 8 Dec 2024 | 64.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002059 | 24 Nov 2024 | 538.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 171.32 |
| CLM0002058 | 18 Jul 2024 | 340.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 340.00 |