TOMAS IQBAL
Subscriber on policy B08M000638
Claims
1
Attributed to this person
Charged
226.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
33.90
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 | B08M000638 |
| Date of birth | 24 Dec 1955 |
| Plan | PLATINUM PPO |
| Covered from | 6 Oct 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 33.90 |
| Total | 33.90 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002893 | 3 Oct 2025 | 226.00 | NORTHSTAR MUTUAL | Not denied | — |