TOMAS IQBAL
Subscriber on policy B08M000532
Claims
2
Attributed to this person
Charged
1,198.00
Total submitted
Denied
755.20
2 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
| Field | Value |
|---|---|
| Name | TOMAS IQBAL |
| Role on the policy | Subscriber |
| Policy | B08M000532 |
| Date of birth | 10 Aug 2001 |
| Plan | SILVER HMO |
| Covered from | 19 Feb 2025 |
| Covered to | 25 Oct 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002428 | 20 May 2025 | 760.00 | NORTHSTAR MUTUAL | CARC 29 · TIMELY_FILING | 317.20 |
| CLM0002429 | 18 Apr 2025 | 438.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 438.00 |