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 B06M000668›YUSUF IQBAL

YUSUF IQBAL

Dependent on policy B06M000668

Claims
2
Attributed to this person
Charged
728.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
48.45
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
NameYUSUF IQBAL
Role on the policyDependent · relationship 19
PolicyB06M000668
Date of birth8 Oct 2020
PlanGOLD PPO
Covered from21 Sep 2024
Covered toopen

Patient responsibility reported on the 835

ReasonAdjustmentsAmount reported
CARC 1 · Deductible148.45
Total48.45

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00029597 Jul 2026323.00NORTHSTAR MUTUALNot denied—
CLM00029589 May 2026405.00NORTHSTAR MUTUALNot denied—