BRIAN IQBAL
Dependent on policy B02M000436
Claims
3
Attributed to this person
Charged
814.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
198.90
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 | BRIAN IQBAL |
| Role on the policy | Dependent · relationship 19 |
| Policy | B02M000436 |
| Date of birth | 10 May 2019 |
| Plan | GOLD PPO |
| Covered from | 30 Mar 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 50 · Other | 1 | 198.90 |
| Total | 198.90 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001859 | 25 Jan 2026 | 306.00 | NORTHSTAR MUTUAL | CARC 50 · MEDICAL_NECESSITY | 0.00 |
| CLM0001860 | 14 Jun 2025 | 283.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001861 | 29 May 2025 | 225.00 | NORTHSTAR MUTUAL | Not denied | — |