FIONA IQBAL
Dependent on policy B10M000368
Claims
2
Attributed to this person
Charged
559.00
Total submitted
Denied
135.31
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 | FIONA IQBAL |
| Role on the policy | Dependent · relationship 19 |
| Policy | B10M000368 |
| Date of birth | 12 Jan 1979 |
| Plan | GOLD PPO |
| Covered from | 15 Jan 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 |
|---|---|---|---|---|---|
| CLM0001538 | 23 Jun 2025 | 114.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001537 | 27 May 2025 | 445.00 | NORTHSTAR MUTUAL | CARC 29 · TIMELY_FILING | 135.31 |