VICTOR IQBAL
Dependent on policy B04M000466
Claims
3
Attributed to this person
Charged
838.00
Total submitted
Denied
333.31
3 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 | VICTOR IQBAL |
| Role on the policy | Dependent · relationship 19 |
| Policy | B04M000466 |
| Date of birth | 15 Feb 2022 |
| 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 |
|---|---|---|---|---|---|
| CLM0001997 | 19 Mar 2026 | 112.00 | NORTHSTAR MUTUAL | CARC 18 · DUPLICATE | 112.00 |
| CLM0001998 | 30 Aug 2025 | 279.00 | NORTHSTAR MUTUAL | CARC 197 · AUTHORIZATION | 72.62 |
| CLM0001996 | 19 Sep 2024 | 447.00 | NORTHSTAR MUTUAL | CARC 197 · AUTHORIZATION | 148.69 |