OMAR MURPHY
Subscriber on policy B04M000442
Claims
2
Attributed to this person
Charged
1,166.00
Total submitted
Denied
561.00
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 | OMAR MURPHY |
| Role on the policy | Subscriber |
| Policy | B04M000442 |
| Date of birth | 5 Apr 1971 |
| Plan | SILVER HMO |
| Covered from | 8 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 |
|---|---|---|---|---|---|
| CLM0001904 | 25 Feb 2025 | 561.00 | CASCADE CARE | CARC 18 · DUPLICATE | 561.00 |
| CLM0001903 | 19 Sep 2024 | 605.00 | CASCADE CARE | Not denied | — |