TOMAS MURPHY
Dependent on policy B06M000189
Claims
3
Attributed to this person
Charged
806.00
Total submitted
Denied
543.00
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 | TOMAS MURPHY |
| Role on the policy | Dependent · relationship 01 |
| Policy | B06M000189 |
| Date of birth | 29 Jan 1982 |
| Plan | GOLD PPO |
| Covered from | 10 Aug 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 |
|---|---|---|---|---|---|
| CLM0000922 | 13 Apr 2025 | 263.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000920 | 11 Nov 2024 | 125.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 125.00 |
| CLM0000921 | 9 Nov 2024 | 418.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 418.00 |