CARLA MURPHY
Subscriber on policy B05M000333
Claims
1
Attributed to this person
Charged
842.00
Total submitted
Denied
273.07
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 | Subscriber |
| Policy | B05M000333 |
| Date of birth | 30 Mar 1966 |
| Plan | GOLD PPO |
| Covered from | 17 Feb 2024 |
| Covered to | open |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001412 | 19 Jul 2024 | 842.00 | CASCADE CARE | CARC 109 · COB | 273.07 |