YUSUF MURPHY
Dependent on policy B01M000727
Claims
3
Attributed to this person
Charged
1,186.00
Total submitted
Denied
497.40
2 denied claims
Patient responsibility
40.00
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 | YUSUF MURPHY |
| Role on the policy | Dependent · relationship 01 |
| Policy | B01M000727 |
| Date of birth | 2 Apr 1955 |
| Plan | SILVER HMO |
| Covered from | 2 Mar 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 3 · Copay | 1 | 40.00 |
| Total | 40.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003232 | 11 Mar 2026 | 776.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 316.40 |
| CLM0003233 | 22 Sep 2025 | 181.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 181.00 |
| CLM0003234 | 21 Sep 2025 | 229.00 | MERIDIAN HEALTH PLAN | Not denied | — |