WENDY IQBAL
Subscriber on policy B03M000115
Claims
2
Attributed to this person
Charged
716.00
Total submitted
Denied
335.00
2 denied claims
Patient responsibility
247.65
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 | WENDY IQBAL |
| Role on the policy | Subscriber |
| Policy | B03M000115 |
| Date of birth | 5 Aug 1974 |
| Plan | SILVER HMO |
| Covered from | 8 Jul 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 50 · Other | 1 | 247.65 |
| Total | 247.65 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000451 | 25 May 2026 | 381.00 | MERIDIAN HEALTH PLAN | CARC 50 · MEDICAL_NECESSITY | 0.00 |
| CLM0000452 | 18 May 2025 | 335.00 | MERIDIAN HEALTH PLAN | CARC 197 · AUTHORIZATION | 335.00 |