TOMAS MURPHY
Subscriber on policy B04M000781
Claims
3
Attributed to this person
Charged
870.00
Total submitted
Denied
167.00
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 | TOMAS MURPHY |
| Role on the policy | Subscriber |
| Policy | B04M000781 |
| Date of birth | 15 Oct 1983 |
| Plan | SILVER HMO |
| Covered from | 10 Jan 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0003405 | 13 Nov 2025 | 167.00 | MERIDIAN HEALTH PLAN | CARC 109 · COB | 167.00 |
| CLM0003407 | 27 Jul 2025 | 304.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003406 | 10 May 2025 | 399.00 | MERIDIAN HEALTH PLAN | Not denied | — |