SOFIA MURPHY
Subscriber on policy B04M000211
Claims
1
Attributed to this person
Charged
480.00
Total submitted
Denied
480.00
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 | SOFIA MURPHY |
| Role on the policy | Subscriber |
| Policy | B04M000211 |
| Date of birth | 29 Aug 1988 |
| Plan | BRONZE EPO |
| Covered from | 7 Nov 2024 |
| Covered to | 27 May 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 |
|---|---|---|---|---|---|
| CLM0000934 | 2 Mar 2025 | 480.00 | MERIDIAN HEALTH PLAN | CARC 18 · DUPLICATE | 480.00 |