ELENA IQBAL
Subscriber on policy B04M000228
Claims
1
Attributed to this person
Charged
168.00
Total submitted
Denied
35.52
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 | ELENA IQBAL |
| Role on the policy | Subscriber |
| Policy | B04M000228 |
| Date of birth | 5 Sep 1990 |
| Plan | SILVER HMO |
| Covered from | 1 Jun 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0000999 | 3 Dec 2025 | 168.00 | MERIDIAN HEALTH PLAN | CARC 18 · DUPLICATE | 35.52 |