DenialIntel

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›SOFIA IQBAL

SOFIA IQBAL

Dependent on policy B09M000124

Claims
2
Attributed to this person
Charged
982.00
Total submitted
Denied
0.00
0 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
NameSOFIA IQBAL
Role on the policyDependent · relationship 01
PolicyB09M000124
Date of birth19 Aug 1980
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
CLM00005135 Aug 2026576.00MERIDIAN HEALTH PLANNot denied—
CLM000051215 Jan 2026406.00MERIDIAN HEALTH PLANNot denied—