CARLA IQBAL
Subscriber on policy B04M000775
Claims
1
Attributed to this person
Charged
584.00
Total submitted
Denied
584.00
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 | CARLA IQBAL |
| Role on the policy | Subscriber |
| Policy | B04M000775 |
| Date of birth | 19 Jan 1979 |
| Plan | GOLD PPO |
| Covered from | 2 Nov 2024 |
| Covered to | 9 Feb 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003369 | 13 Oct 2024 | 584.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 584.00 |