JULIA MURPHY
Subscriber on policy B04M000742
Claims
1
Attributed to this person
Charged
869.00
Total submitted
Denied
869.00
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 | JULIA MURPHY |
| Role on the policy | Subscriber |
| Policy | B04M000742 |
| Date of birth | 3 Aug 2000 |
| Plan | SILVER HMO |
| Covered from | 1 Sep 2024 |
| Covered to | 13 Feb 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003247 | 10 Nov 2024 | 869.00 | CASCADE CARE | CARC 96 · NON_COVERED | 869.00 |