ZARA IQBAL
Dependent on policy B09M000802
Claims
2
Attributed to this person
Charged
826.00
Total submitted
Denied
194.00
1 denied claims
Patient responsibility
94.80
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 | ZARA IQBAL |
| Role on the policy | Dependent · relationship 19 |
| Policy | B09M000802 |
| Date of birth | 17 Jul 2018 |
| 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 | 94.80 |
| Total | 94.80 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003409 | 6 Apr 2026 | 632.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003410 | 12 Mar 2026 | 194.00 | NORTHSTAR MUTUAL | CARC 11 · CODING | 194.00 |