KEVIN IQBAL
Subscriber on policy B03M000850
Claims
1
Attributed to this person
Charged
277.00
Total submitted
Denied
277.00
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 | KEVIN IQBAL |
| Role on the policy | Subscriber |
| Policy | B03M000850 |
| Date of birth | 8 Oct 1978 |
| Plan | PLATINUM PPO |
| Covered from | 25 Oct 2024 |
| Covered to | open |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003686 | 1 Oct 2024 | 277.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 277.00 |