TOMAS IQBAL
Dependent on policy B10M000268
Claims
3
Attributed to this person
Charged
1,962.00
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
| Field | Value |
|---|---|
| Name | TOMAS IQBAL |
| Role on the policy | Dependent · relationship 01 |
| Policy | B10M000268 |
| Date of birth | 15 Jan 1984 |
| Plan | BRONZE EPO |
| Covered from | 22 Sep 2024 |
| Covered to | 30 Jan 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001114 | 12 Feb 2025 | 760.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001115 | 23 Jan 2025 | 682.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001113 | 7 Oct 2024 | 520.00 | MERIDIAN HEALTH PLAN | Not denied | — |