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 B09M000512›KEVIN IQBAL

KEVIN IQBAL

Subscriber on policy B09M000512

Claims
2
Attributed to this person
Charged
1,129.00
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
NameKEVIN IQBAL
Role on the policySubscriber
PolicyB09M000512
Date of birth7 Mar 1990
PlanPLATINUM PPO
Covered from21 Jun 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000216928 Jun 2026400.00MERIDIAN HEALTH PLANNot denied—
CLM000217023 Oct 2024729.00MERIDIAN HEALTH PLANNot denied—