CARLA MURPHY
Dependent on policy B04M000729
Claims
2
Attributed to this person
Charged
963.00
Total submitted
Denied
629.00
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 | CARLA MURPHY |
| Role on the policy | Dependent · relationship 19 |
| Policy | B04M000729 |
| Date of birth | 21 Oct 2009 |
| 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 |
|---|---|---|---|---|---|
| CLM0003187 | 27 Oct 2024 | 334.00 | CASCADE CARE | Not denied | — |
| CLM0003188 | 8 Jul 2024 | 629.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 629.00 |