LEILA IQBAL
Subscriber on policy B03M000423
Claims
2
Attributed to this person
Charged
933.00
Total submitted
Denied
576.00
1 denied claims
Patient responsibility
0.00
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 | B03M000423 |
| Date of birth | 26 Mar 1978 |
| Plan | BRONZE EPO |
| Covered from | 28 Feb 2024 |
| Covered to | 24 May 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001724 | 10 May 2024 | 357.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001723 | 29 Jan 2024 | 576.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 576.00 |