X12 Ingest & Denial Analytics

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Members›policy B09M000416›OMAR IQBAL

OMAR IQBAL

Dependent on policy B09M000416

Claims
3
Attributed to this person
Charged
1,861.00
Total submitted
Denied
1,092.62
2 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
NameOMAR IQBAL
Role on the policyDependent · relationship 01
PolicyB09M000416
Date of birth30 Mar 1973
PlanBRONZE EPO
Covered from17 Sep 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000173322 Jun 2026222.00MERIDIAN HEALTH PLANNot denied—
CLM000173224 Mar 2026866.00MERIDIAN HEALTH PLANCARC 11 · CODING866.00
CLM000173411 Apr 2025773.00MERIDIAN HEALTH PLANCARC 26 · ELIGIBILITY226.62