SOFIA IQBAL
Dependent on policy B02M000698
Claims
3
Attributed to this person
Charged
1,461.00
Total submitted
Denied
220.00
1 denied claims
Patient responsibility
79.35
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 | SOFIA IQBAL |
| Role on the policy | Dependent · relationship 19 |
| Policy | B02M000698 |
| Date of birth | 26 Dec 2006 |
| Plan | BRONZE EPO |
| Covered from | 29 Dec 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 79.35 |
| Total | 79.35 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002946 | 13 Jan 2026 | 220.00 | NORTHSTAR MUTUAL | CARC 18 · DUPLICATE | 220.00 |
| CLM0002947 | 18 Nov 2025 | 712.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002945 | 14 Feb 2025 | 529.00 | NORTHSTAR MUTUAL | Not denied | — |