X12 Ingest & Denial Analytics

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Members›policy B09M000141›ELENA IQBAL

ELENA IQBAL

Dependent on policy B09M000141

Claims
2
Attributed to this person
Charged
561.00
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
NameELENA IQBAL
Role on the policyDependent · relationship 19
PolicyB09M000141
Date of birth12 Aug 2009
PlanGOLD PPO
Covered from14 Feb 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000059316 Oct 2025158.00MERIDIAN HEALTH PLANNot denied—
CLM00005948 Aug 2025403.00MERIDIAN HEALTH PLANNot denied—