SOFIA MURPHY
Subscriber on policy B04M000675
Claims
1
Attributed to this person
Charged
177.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
26.55
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 | SOFIA MURPHY |
| Role on the policy | Subscriber |
| Policy | B04M000675 |
| Date of birth | 17 Sep 1983 |
| Plan | BRONZE EPO |
| Covered from | 8 Jun 2025 |
| Covered to | 20 Nov 2025 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 26.55 |
| Total | 26.55 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002943 | 29 Aug 2025 | 177.00 | CASCADE CARE | Not denied | — |