NADIA IQBAL
Dependent on policy B09M000802
Claims
1
Attributed to this person
Charged
535.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
80.25
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 | NADIA IQBAL |
| Role on the policy | Dependent · relationship 01 |
| Policy | B09M000802 |
| Date of birth | 7 Apr 2006 |
| Plan | PLATINUM PPO |
| Covered from | 26 Feb 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 80.25 |
| Total | 80.25 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003408 | 15 Feb 2025 | 535.00 | NORTHSTAR MUTUAL | Not denied | — |