DenialIntel

Demo Environment — Synthetic Data OnlyThis application contains synthetic demonstration data only. Do not enter or submit patient information (PHI) or other sensitive personal information.
Members›policy B02M000799›PRIYA IQBAL

PRIYA IQBAL

Subscriber on policy B02M000799

Claims
2
Attributed to this person
Charged
1,652.00
Total submitted
Denied
262.89
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

FieldValue
NamePRIYA IQBAL
Role on the policySubscriber
PolicyB02M000799
Date of birth24 Oct 1997
PlanSILVER HMO
Covered from13 Apr 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000333930 Sep 2025825.00MERIDIAN HEALTH PLANNot denied—
CLM000334015 Oct 2024827.00MERIDIAN HEALTH PLANCARC 11 · CODING262.89