DenialIntel

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Members›policy B04M000351›KEVIN MURPHY

KEVIN MURPHY

Dependent on policy B04M000351

Claims
3
Attributed to this person
Charged
1,107.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
151.20
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

FieldValue
NameKEVIN MURPHY
Role on the policyDependent · relationship 01
PolicyB04M000351
Date of birth11 Oct 1989
PlanSILVER HMO
Covered from7 May 2024
Covered toopen

Patient responsibility reported on the 835

ReasonAdjustmentsAmount reported
CARC 1 · Deductible2151.20
Total151.20

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000150511 Apr 202699.00MERIDIAN HEALTH PLANNot denied—
CLM000150631 Dec 2024458.00MERIDIAN HEALTH PLANNot denied—
CLM000150410 Nov 2024550.00MERIDIAN HEALTH PLANNot denied—