ZARA IQBAL
Subscriber on policy B09M000395
Claims
3
Attributed to this person
Charged
1,133.00
Total submitted
Denied
656.00
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 | ZARA IQBAL |
| Role on the policy | Subscriber |
| Policy | B09M000395 |
| Date of birth | 25 Sep 1996 |
| Plan | GOLD PPO |
| Covered from | 23 Feb 2024 |
| Covered to | 5 Jul 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 |
|---|---|---|---|---|---|
| CLM0001639 | 26 Jun 2024 | 314.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001638 | 26 Mar 2024 | 656.00 | MERIDIAN HEALTH PLAN | CARC 11 · CODING | 656.00 |
| CLM0001637 | 16 Feb 2024 | 163.00 | MERIDIAN HEALTH PLAN | Not denied | — |