FIONA IQBAL
Subscriber on policy B10M000085
Claims
3
Attributed to this person
Charged
1,024.00
Total submitted
Denied
53.80
1 denied claims
Patient responsibility
44.70
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 | Subscriber |
| Policy | B10M000085 |
| Date of birth | 23 Nov 1957 |
| Plan | GOLD PPO |
| Covered from | 22 Apr 2024 |
| Covered to | 8 Aug 2024 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 44.70 |
| Total | 44.70 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000351 | 6 Jul 2024 | 153.00 | MERIDIAN HEALTH PLAN | CARC 16 · BILLING_ERROR | 53.80 |
| CLM0000353 | 19 May 2024 | 573.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000352 | 8 Apr 2024 | 298.00 | MERIDIAN HEALTH PLAN | Not denied | — |