SOFIA IQBAL
Subscriber on policy B07M000549
Claims
3
Attributed to this person
Charged
2,023.00
Total submitted
Denied
641.00
2 denied claims
Patient responsibility
501.15
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 | SOFIA IQBAL |
| Role on the policy | Subscriber |
| Policy | B07M000549 |
| Date of birth | 7 Dec 1984 |
| Plan | PLATINUM PPO |
| Covered from | 28 Jun 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 96 · Other | 1 | 501.15 |
| Total | 501.15 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002330 | 4 May 2026 | 771.00 | MERIDIAN HEALTH PLAN | CARC 96 · NON_COVERED | 0.00 |
| CLM0002329 | 26 Sep 2025 | 611.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002328 | 4 Aug 2025 | 641.00 | MERIDIAN HEALTH PLAN | CARC 96 · NON_COVERED | 641.00 |