VICTOR IQBAL
Dependent on policy B08M000217
Claims
3
Attributed to this person
Charged
858.00
Total submitted
Denied
93.00
1 denied claims
Patient responsibility
16.20
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 | VICTOR IQBAL |
| Role on the policy | Dependent · relationship 01 |
| Policy | B08M000217 |
| Date of birth | 22 Oct 1998 |
| Plan | GOLD PPO |
| Covered from | 24 Nov 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 16.20 |
| Total | 16.20 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000969 | 2 May 2026 | 108.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000970 | 25 Mar 2025 | 657.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000968 | 19 Dec 2024 | 93.00 | NORTHSTAR MUTUAL | CARC 18 · DUPLICATE | 93.00 |