FIONA IQBAL
Subscriber on policy B09M000077
Claims
1
Attributed to this person
Charged
400.00
Total submitted
Denied
400.00
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
| Field | Value |
|---|---|
| Name | FIONA IQBAL |
| Role on the policy | Subscriber |
| Policy | B09M000077 |
| Date of birth | 27 Apr 1980 |
| Plan | GOLD PPO |
| Covered from | 15 Feb 2024 |
| Covered to | 31 May 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000337 | 27 Feb 2024 | 400.00 | MERIDIAN HEALTH PLAN | CARC 18 · DUPLICATE | 400.00 |