LEILA IQBAL
Subscriber on policy B02M000466
Claims
1
Attributed to this person
Charged
847.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
127.05
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 | LEILA IQBAL |
| Role on the policy | Subscriber |
| Policy | B02M000466 |
| Date of birth | 28 Aug 1965 |
| Plan | BRONZE EPO |
| Covered from | 2 May 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 127.05 |
| Total | 127.05 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001992 | 26 Jun 2026 | 847.00 | NORTHSTAR MUTUAL | Not denied | — |