ZARA MURPHY
Subscriber on policy B03M000216
Claims
1
Attributed to this person
Charged
707.00
Total submitted
Denied
707.00
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 | ZARA MURPHY |
| Role on the policy | Subscriber |
| Policy | B03M000216 |
| Date of birth | 6 Oct 1978 |
| Plan | PLATINUM PPO |
| Covered from | 1 Jun 2024 |
| Covered to | 2 Mar 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000884 | 19 Jul 2024 | 707.00 | CASCADE CARE | CARC 16 · BILLING_ERROR | 707.00 |