X12 Ingest & Denial Analytics

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 B09M000124›ZARA IQBAL

ZARA IQBAL

Subscriber on policy B09M000124

Claims
2
Attributed to this person
Charged
972.00
Total submitted
Denied
167.00
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
NameZARA IQBAL
Role on the policySubscriber
PolicyB09M000124
Date of birth1 Mar 1977
PlanBRONZE EPO
Covered from18 Jan 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00005095 Dec 2025167.00MERIDIAN HEALTH PLANCARC 29 · TIMELY_FILING167.00
CLM00005114 Jul 2025805.00MERIDIAN HEALTH PLANNot denied—