GRACE MURPHY
Dependent on policy B03M000566
Claims
2
Attributed to this person
Charged
587.00
Total submitted
Denied
344.00
1 denied claims
Patient responsibility
36.45
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 | GRACE MURPHY |
| Role on the policy | Dependent · relationship 19 |
| Policy | B03M000566 |
| Date of birth | 21 Jun 1992 |
| Plan | SILVER HMO |
| Covered from | 25 Apr 2025 |
| Covered to | 29 Jul 2025 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 36.45 |
| Total | 36.45 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002313 | 9 May 2025 | 243.00 | CASCADE CARE | Not denied | — |
| CLM0002312 | 29 Mar 2025 | 344.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 344.00 |