LEILA IQBAL
Subscriber on policy B03M000269
Claims
1
Attributed to this person
Charged
703.00
Total submitted
Denied
703.00
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 | B03M000269 |
| Date of birth | 23 Dec 1963 |
| Plan | GOLD PPO |
| Covered from | 22 Dec 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 |
|---|---|---|---|---|---|
| CLM0001080 | 22 Dec 2025 | 703.00 | NORTHSTAR MUTUAL | CARC 50 · MEDICAL_NECESSITY | 703.00 |