AMARA MURPHY
Dependent on policy B03M000735
Claims
2
Attributed to this person
Charged
1,083.00
Total submitted
Denied
667.00
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 — 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 | AMARA MURPHY |
| Role on the policy | Dependent · relationship 19 |
| Policy | B03M000735 |
| Date of birth | 8 Feb 1977 |
| Plan | GOLD PPO |
| Covered from | 23 Mar 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0003077 | 25 May 2026 | 416.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003076 | 6 Apr 2026 | 667.00 | NORTHSTAR MUTUAL | CARC 197 · AUTHORIZATION | 667.00 |