OMAR IQBAL
Dependent on policy B04M000306
Claims
1
Attributed to this person
Charged
646.00
Total submitted
Denied
646.00
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 | OMAR IQBAL |
| Role on the policy | Dependent · relationship 01 |
| Policy | B04M000306 |
| Date of birth | 18 Jul 1965 |
| Plan | GOLD PPO |
| Covered from | 15 Apr 2024 |
| Covered to | 18 Oct 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001338 | 12 Apr 2024 | 646.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 646.00 |