GRACE MURPHY
Dependent on policy B04M000706
Claims
2
Attributed to this person
Charged
773.00
Total submitted
Denied
639.00
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 | GRACE MURPHY |
| Role on the policy | Dependent · relationship 01 |
| Policy | B04M000706 |
| Date of birth | 2 Jun 2000 |
| 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 |
|---|---|---|---|---|---|
| CLM0003073 | 4 Jun 2026 | 134.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003074 | 3 Jan 2025 | 639.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 639.00 |