LEILA IQBAL
Dependent on policy B07M000417
Claims
2
Attributed to this person
Charged
908.00
Total submitted
Denied
340.00
1 denied claims
Patient responsibility
85.20
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 | LEILA IQBAL |
| Role on the policy | Dependent · relationship 01 |
| Policy | B07M000417 |
| Date of birth | 27 Feb 1999 |
| Plan | SILVER HMO |
| Covered from | 12 Feb 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 85.20 |
| Total | 85.20 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001758 | 27 Jul 2025 | 568.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001757 | 30 Apr 2025 | 340.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 340.00 |