BRIAN MURPHY
Subscriber on policy B04M000704
Claims
1
Attributed to this person
Charged
181.00
Total submitted
Denied
181.00
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 | BRIAN MURPHY |
| Role on the policy | Subscriber |
| Policy | B04M000704 |
| Date of birth | 19 Oct 1963 |
| Plan | BRONZE EPO |
| Covered from | 23 Mar 2024 |
| Covered to | open |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003059 | 29 Mar 2024 | 181.00 | MERIDIAN HEALTH PLAN | CARC 16 · BILLING_ERROR | 181.00 |