SOFIA IQBAL
Dependent on policy B04M000470
Claims
2
Attributed to this person
Charged
1,134.00
Total submitted
Denied
185.24
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 | SOFIA IQBAL |
| Role on the policy | Dependent · relationship 19 |
| Policy | B04M000470 |
| Date of birth | 6 Oct 1998 |
| Plan | SILVER HMO |
| Covered from | 15 Aug 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 |
|---|---|---|---|---|---|
| CLM0002015 | 25 Jun 2025 | 438.00 | NORTHSTAR MUTUAL | CARC 16 · BILLING_ERROR | 185.24 |
| CLM0002014 | 25 Apr 2025 | 696.00 | NORTHSTAR MUTUAL | Not denied | — |