RAVI IQBAL
Dependent on policy B10M000234
Claims
1
Attributed to this person
Charged
362.00
Total submitted
Denied
154.28
1 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 | RAVI IQBAL |
| Role on the policy | Dependent · relationship 01 |
| Policy | B10M000234 |
| Date of birth | 7 May 1954 |
| Plan | GOLD PPO |
| Covered from | 24 Mar 2025 |
| Covered to | open |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000966 | 30 Sep 2025 | 362.00 | NORTHSTAR MUTUAL | CARC 18 · DUPLICATE | 154.28 |