DAVID IQBAL
Subscriber on policy B01M000364
Claims
2
Attributed to this person
Charged
402.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
15.00
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
| Field | Value |
|---|---|
| Name | DAVID IQBAL |
| Role on the policy | Subscriber |
| Policy | B01M000364 |
| Date of birth | 10 May 1973 |
| Plan | PLATINUM PPO |
| Covered from | 3 Apr 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 15.00 |
| Total | 15.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001614 | 7 Aug 2026 | 302.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001615 | 19 Apr 2025 | 100.00 | MERIDIAN HEALTH PLAN | Not denied | — |