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 B02M000850›KEVIN IQBAL

KEVIN IQBAL

Dependent on policy B02M000850

Claims
3
Attributed to this person
Charged
1,765.00
Total submitted
Denied
742.00
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
NameKEVIN IQBAL
Role on the policyDependent · relationship 19
PolicyB02M000850
Date of birth8 Feb 2005
PlanGOLD PPO
Covered from25 Jan 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000353429 Sep 2025739.00MERIDIAN HEALTH PLANNot denied—
CLM000353329 Jul 2025284.00MERIDIAN HEALTH PLANNot denied—
CLM000353522 Jan 2024742.00MERIDIAN HEALTH PLANCARC 26 · ELIGIBILITY742.00