FIONA IQBAL
Dependent on policy B03M000687
Claims
3
Attributed to this person
Charged
1,838.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
560.95
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 | FIONA IQBAL |
| Role on the policy | Dependent · relationship 19 |
| Policy | B03M000687 |
| Date of birth | 24 Oct 2021 |
| Plan | SILVER HMO |
| Covered from | 9 Apr 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 96 · Other | 1 | 560.95 |
| Total | 560.95 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002859 | 16 Nov 2025 | 328.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002858 | 30 Sep 2025 | 647.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002860 | 15 Mar 2025 | 863.00 | NORTHSTAR MUTUAL | CARC 96 · NON_COVERED | 0.00 |