UMA IQBAL
Subscriber on policy B04M000466
Claims
1
Attributed to this person
Charged
109.00
Total submitted
Denied
109.00
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 | UMA IQBAL |
| Role on the policy | Subscriber |
| Policy | B04M000466 |
| Date of birth | 27 Apr 1988 |
| Plan | BRONZE EPO |
| Covered from | 27 Mar 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 |
|---|---|---|---|---|---|
| CLM0001994 | 27 Feb 2024 | 109.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 109.00 |