AMARA IQBAL
Subscriber on policy B02M000884
Claims
3
Attributed to this person
Charged
1,151.00
Total submitted
Denied
236.71
2 denied claims
Patient responsibility
67.60
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 | AMARA IQBAL |
| Role on the policy | Subscriber |
| Policy | B02M000884 |
| Date of birth | 28 Jan 1972 |
| Plan | BRONZE EPO |
| Covered from | 2 Nov 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 50 · Other | 1 | 67.60 |
| Total | 67.60 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003675 | 5 Mar 2026 | 766.00 | MERIDIAN HEALTH PLAN | CARC 18 · DUPLICATE | 236.71 |
| CLM0003676 | 18 Jan 2026 | 281.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003677 | 11 Dec 2025 | 104.00 | MERIDIAN HEALTH PLAN | CARC 50 · MEDICAL_NECESSITY | 0.00 |