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 B07M000665›ELENA IQBAL

ELENA IQBAL

Dependent on policy B07M000665

Claims
3
Attributed to this person
Charged
1,459.00
Total submitted
Denied
577.00
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
NameELENA IQBAL
Role on the policyDependent · relationship 19
PolicyB07M000665
Date of birth25 Oct 2007
PlanSILVER HMO
Covered from29 Nov 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000277515 Sep 2025764.00MERIDIAN HEALTH PLANNot denied—
CLM000277419 May 2025577.00MERIDIAN HEALTH PLANCARC 27 · ELIGIBILITY577.00
CLM00027763 May 2025118.00MERIDIAN HEALTH PLANNot denied—