SOFIA MURPHY
Subscriber on policy B05M000717
Claims
2
Attributed to this person
Charged
934.00
Total submitted
Denied
934.00
2 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 | SOFIA MURPHY |
| Role on the policy | Subscriber |
| Policy | B05M000717 |
| Date of birth | 8 Sep 1980 |
| Plan | GOLD PPO |
| Covered from | 17 Oct 2024 |
| Covered to | 19 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 |
|---|---|---|---|---|---|
| CLM0003064 | 20 Dec 2024 | 235.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 235.00 |
| CLM0003065 | 29 Oct 2024 | 699.00 | MERIDIAN HEALTH PLAN | CARC 18 · DUPLICATE | 699.00 |