HENRY IQBAL
Dependent on policy B03M000618
Claims
3
Attributed to this person
Charged
1,739.00
Total submitted
Denied
79.45
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 | HENRY IQBAL |
| Role on the policy | Dependent · relationship 19 |
| Policy | B03M000618 |
| Date of birth | 13 Jun 1996 |
| Plan | SILVER HMO |
| Covered from | 2 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 |
|---|---|---|---|---|---|
| CLM0002551 | 12 Aug 2026 | 786.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002550 | 5 Feb 2025 | 298.00 | NORTHSTAR MUTUAL | CARC 29 · TIMELY_FILING | 79.45 |
| CLM0002549 | 11 Dec 2024 | 655.00 | NORTHSTAR MUTUAL | Not denied | — |