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 B06M000847›YUSUF IQBAL

YUSUF IQBAL

Dependent on policy B06M000847

Claims
1
Attributed to this person
Charged
616.00
Total submitted
Denied
616.00
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

FieldValue
NameYUSUF IQBAL
Role on the policyDependent · relationship 01
PolicyB06M000847
Date of birth25 Feb 1988
PlanGOLD PPO
Covered from16 Jun 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000370311 Apr 2026616.00NORTHSTAR MUTUALCARC 11 · CODING616.00