ZARA IQBAL
Dependent on policy B10M000591
Claims
3
Attributed to this person
Charged
1,512.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
327.60
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 01 |
| Policy | B10M000591 |
| Date of birth | 10 Dec 1953 |
| Plan | PLATINUM PPO |
| Covered from | 14 May 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 96 · Other | 1 | 327.60 |
| Total | 327.60 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002446 | 28 Jun 2026 | 432.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002448 | 7 Mar 2026 | 504.00 | NORTHSTAR MUTUAL | CARC 96 · NON_COVERED | 0.00 |
| CLM0002447 | 6 Dec 2025 | 576.00 | NORTHSTAR MUTUAL | Not denied | — |