X12 Ingest & Denial Analytics

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Members›policy B03M000123›JULIA IQBAL

JULIA IQBAL

Dependent on policy B03M000123

Claims
2
Attributed to this person
Charged
1,305.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
83.40
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

FieldValue
NameJULIA IQBAL
Role on the policyDependent · relationship 19
PolicyB03M000123
Date of birth8 Nov 2014
PlanPLATINUM PPO
Covered from26 Mar 2025
Covered toopen

Patient responsibility reported on the 835

ReasonAdjustmentsAmount reported
CARC 1 · Deductible183.40
Total83.40

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000048920 Dec 2025749.00MERIDIAN HEALTH PLANNot denied—
CLM000048824 Nov 2025556.00MERIDIAN HEALTH PLANNot denied—