BRIAN MURPHY
Subscriber on policy B04M000729
Claims
3
Attributed to this person
Charged
1,245.00
Total submitted
Denied
216.00
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 | BRIAN MURPHY |
| Role on the policy | Subscriber |
| Policy | B04M000729 |
| Date of birth | 5 Jan 2004 |
| Plan | PLATINUM PPO |
| Covered from | 5 Aug 2024 |
| Covered to | 19 Dec 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003183 | 11 Jan 2025 | 216.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 216.00 |
| CLM0003181 | 27 Aug 2024 | 631.00 | CASCADE CARE | Not denied | — |
| CLM0003182 | 10 Aug 2024 | 398.00 | CASCADE CARE | Not denied | — |