FIONA IQBAL
Dependent on policy B09M000493
Claims
2
Attributed to this person
Charged
1,466.00
Total submitted
Denied
714.00
1 denied claims
Patient responsibility
112.80
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 | FIONA IQBAL |
| Role on the policy | Dependent · relationship 19 |
| Policy | B09M000493 |
| Date of birth | 22 Dec 2011 |
| Plan | SILVER HMO |
| Covered from | 3 Mar 2025 |
| Covered to | 3 Nov 2025 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 112.80 |
| Total | 112.80 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002080 | 24 Nov 2025 | 714.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 714.00 |
| CLM0002079 | 6 Oct 2025 | 752.00 | MERIDIAN HEALTH PLAN | Not denied | — |