HENRY MURPHY
Subscriber on policy B04M000706
Claims
3
Attributed to this person
Charged
1,745.00
Total submitted
Denied
670.00
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 | HENRY MURPHY |
| Role on the policy | Subscriber |
| Policy | B04M000706 |
| Date of birth | 7 Feb 2004 |
| Plan | PLATINUM PPO |
| Covered from | 6 Dec 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 |
|---|---|---|---|---|---|
| CLM0003071 | 29 Jul 2025 | 509.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003070 | 5 Apr 2025 | 566.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003072 | 26 Jan 2025 | 670.00 | NORTHSTAR MUTUAL | CARC 109 · COB | 670.00 |