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›CARLA IQBAL

CARLA IQBAL

Dependent on policy B02M000850

Claims
2
Attributed to this person
Charged
1,575.00
Total submitted
Denied
0.00
0 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
NameCARLA IQBAL
Role on the policyDependent · relationship 19
PolicyB02M000850
Date of birth16 Jun 2001
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
CLM00035377 Jan 2026718.00MERIDIAN HEALTH PLANNot denied—
CLM000353621 Mar 2025857.00MERIDIAN HEALTH PLANNot denied—