UMA IQBAL
Dependent on policy B06M000668
Claims
1
Attributed to this person
Charged
88.00
Total submitted
Denied
88.00
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 | UMA IQBAL |
| Role on the policy | Dependent · relationship 01 |
| Policy | B06M000668 |
| Date of birth | 15 Nov 1997 |
| Plan | GOLD PPO |
| Covered from | 21 Sep 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 |
|---|---|---|---|---|---|
| CLM0002956 | 5 Jun 2025 | 88.00 | NORTHSTAR MUTUAL | CARC 29 · TIMELY_FILING | 88.00 |