DenialIntel

Demo Environment — Synthetic Data OnlyThis application contains synthetic demonstration data only. Do not enter or submit patient information (PHI) or other sensitive personal information.
Members›policy B06M000018›ZARA IQBAL

ZARA IQBAL

Dependent on policy B06M000018

Claims
2
Attributed to this person
Charged
1,434.00
Total submitted
Denied
201.87
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

FieldValue
NameZARA IQBAL
Role on the policyDependent · relationship 01
PolicyB06M000018
Date of birth22 Mar 1972
PlanGOLD PPO
Covered from18 Jun 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000010713 Apr 2026832.00NORTHSTAR MUTUALNot denied—
CLM00001083 Jan 2025602.00NORTHSTAR MUTUALCARC 27 · ELIGIBILITY201.87