UMA IQBAL
Subscriber on policy B07M000648
Claims
3
Attributed to this person
Charged
1,194.00
Total submitted
Denied
254.00
2 denied claims
Patient responsibility
429.00
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
| Field | Value |
|---|---|
| Name | UMA IQBAL |
| Role on the policy | Subscriber |
| Policy | B07M000648 |
| Date of birth | 22 Jan 1960 |
| Plan | PLATINUM PPO |
| Covered from | 23 Aug 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 50 · Other | 1 | 429.00 |
| Total | 429.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002700 | 27 Apr 2026 | 254.00 | MERIDIAN HEALTH PLAN | CARC 197 · AUTHORIZATION | 254.00 |
| CLM0002699 | 6 Oct 2025 | 280.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002701 | 4 Feb 2025 | 660.00 | MERIDIAN HEALTH PLAN | CARC 50 · MEDICAL_NECESSITY | 0.00 |