NADIA IQBAL
Subscriber on policy B03M000715
Claims
3
Attributed to this person
Charged
791.00
Total submitted
Denied
391.63
3 denied claims
Patient responsibility
56.55
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 | NADIA IQBAL |
| Role on the policy | Subscriber |
| Policy | B03M000715 |
| Date of birth | 6 Nov 1964 |
| Plan | BRONZE EPO |
| Covered from | 28 Apr 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 96 · Other | 1 | 56.55 |
| Total | 56.55 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002988 | 7 May 2026 | 422.00 | MERIDIAN HEALTH PLAN | CARC 197 · AUTHORIZATION | 109.63 |
| CLM0002987 | 27 Aug 2025 | 282.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 282.00 |
| CLM0002986 | 19 Apr 2025 | 87.00 | MERIDIAN HEALTH PLAN | CARC 96 · NON_COVERED | 0.00 |