DAVID MURPHY
Subscriber on policy B04M000802
Claims
1
Attributed to this person
Charged
490.00
Total submitted
Denied
490.00
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 | DAVID MURPHY |
| Role on the policy | Subscriber |
| Policy | B04M000802 |
| Date of birth | 29 Dec 2003 |
| Plan | BRONZE EPO |
| Covered from | 1 Mar 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 |
|---|---|---|---|---|---|
| CLM0003503 | 1 Feb 2025 | 490.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 490.00 |