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 B09M000264›DAVID IQBAL

DAVID IQBAL

Subscriber on policy B09M000264

Claims
1
Attributed to this person
Charged
602.00
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
NameDAVID IQBAL
Role on the policySubscriber
PolicyB09M000264
Date of birth1 May 1967
PlanSILVER HMO
Covered from9 Feb 2024
Covered to3 Sep 2024

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000108911 Aug 2024602.00MERIDIAN HEALTH PLANNot denied—