ZARA IQBAL
Subscriber on policy B06M000668
Claims
3
Attributed to this person
Charged
1,507.00
Total submitted
Denied
410.00
1 denied claims
Patient responsibility
15.00
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 | ZARA IQBAL |
| Role on the policy | Subscriber |
| Policy | B06M000668 |
| Date of birth | 2 Oct 1995 |
| Plan | GOLD PPO |
| Covered from | 21 Sep 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 3 · Copay | 1 | 15.00 |
| Total | 15.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002953 | 5 Dec 2025 | 414.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002955 | 31 Aug 2025 | 410.00 | NORTHSTAR MUTUAL | CARC 29 · TIMELY_FILING | 410.00 |
| CLM0002954 | 19 May 2025 | 683.00 | NORTHSTAR MUTUAL | Not denied | — |