PRIYA MURPHY
Subscriber on policy B04M000517
Claims
3
Attributed to this person
Charged
1,626.00
Total submitted
Denied
1,065.00
2 denied claims
Patient responsibility
84.15
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 | PRIYA MURPHY |
| Role on the policy | Subscriber |
| Policy | B04M000517 |
| Date of birth | 9 Oct 1957 |
| Plan | GOLD PPO |
| Covered from | 13 Feb 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 84.15 |
| Total | 84.15 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002235 | 26 Mar 2026 | 764.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 764.00 |
| CLM0002236 | 20 Apr 2025 | 561.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002234 | 17 Feb 2025 | 301.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 301.00 |