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 B08M000246›TOMAS IQBAL

TOMAS IQBAL

Dependent on policy B08M000246

Claims
3
Attributed to this person
Charged
981.00
Total submitted
Denied
130.00
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
NameTOMAS IQBAL
Role on the policyDependent · relationship 01
PolicyB08M000246
Date of birth29 Dec 1998
PlanBRONZE EPO
Covered from27 Jan 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00011183 Jan 2026130.00MERIDIAN HEALTH PLANCARC 29 · TIMELY_FILING130.00
CLM000111930 Aug 2025748.00MERIDIAN HEALTH PLANNot denied—
CLM00011174 Jul 2025103.00MERIDIAN HEALTH PLANNot denied—