CARLA IQBAL
Subscriber on policy B09M000299
Claims
3
Attributed to this person
Charged
1,362.00
Total submitted
Denied
162.00
1 denied claims
Patient responsibility
15.00
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 | CARLA IQBAL |
| Role on the policy | Subscriber |
| Policy | B09M000299 |
| Date of birth | 26 Feb 1957 |
| Plan | GOLD PPO |
| Covered from | 10 May 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 3 · Copay | 1 | 15.00 |
| Total | 15.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001226 | 22 Jan 2026 | 507.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001224 | 16 Dec 2025 | 162.00 | NORTHSTAR MUTUAL | CARC 197 · AUTHORIZATION | 162.00 |
| CLM0001225 | 28 Dec 2024 | 693.00 | NORTHSTAR MUTUAL | Not denied | — |