KEVIN MURPHY
Subscriber on policy B05M000618
Claims
2
Attributed to this person
Charged
721.00
Total submitted
Denied
494.00
1 denied claims
Patient responsibility
45.40
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 | B05M000618 |
| Date of birth | 3 Sep 1989 |
| Plan | BRONZE EPO |
| Covered from | 13 Feb 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 45.40 |
| Total | 45.40 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002654 | 28 Sep 2025 | 227.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002653 | 16 Feb 2025 | 494.00 | NORTHSTAR MUTUAL | CARC 18 · DUPLICATE | 494.00 |