DenialIntel

Demo Environment โ€” Synthetic Data OnlyThis application contains synthetic demonstration data only. Do not enter or submit patient information (PHI) or other sensitive personal information.
Members›policy B06M000828›RAVI IQBAL

RAVI IQBAL

Subscriber on policy B06M000828

Claims
1
Attributed to this person
Charged
283.00
Total submitted
Denied
283.00
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 โ€” 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
NameRAVI IQBAL
Role on the policySubscriber
PolicyB06M000828
Date of birth12 Dec 1992
PlanPLATINUM PPO
Covered from10 Mar 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00036246 Mar 2025283.00NORTHSTAR MUTUALCARC 26 ยท ELIGIBILITY283.00