KEVIN MURPHY
Subscriber on policy B05M000416
Claims
2
Attributed to this person
Charged
1,190.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
15.00
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 | KEVIN MURPHY |
| Role on the policy | Subscriber |
| Policy | B05M000416 |
| Date of birth | 5 Dec 1952 |
| Plan | SILVER HMO |
| Covered from | 28 Feb 2025 |
| Covered to | 23 Sep 2025 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 3 · Copay | 1 | 15.00 |
| Total | 15.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001753 | 5 Apr 2025 | 721.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001754 | 11 Mar 2025 | 469.00 | MERIDIAN HEALTH PLAN | Not denied | — |