LEILA MURPHY
Subscriber on policy B04M000843
Claims
2
Attributed to this person
Charged
555.00
Total submitted
Denied
406.00
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 | LEILA MURPHY |
| Role on the policy | Subscriber |
| Policy | B04M000843 |
| Date of birth | 9 Apr 1951 |
| Plan | PLATINUM PPO |
| Covered from | 20 Apr 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 |
|---|---|---|---|---|---|
| CLM0003643 | 17 Aug 2025 | 406.00 | MERIDIAN HEALTH PLAN | CARC 197 · AUTHORIZATION | 406.00 |
| CLM0003644 | 15 Oct 2024 | 149.00 | MERIDIAN HEALTH PLAN | Not denied | — |