DAVID IQBAL
Subscriber on policy B04M000815
Claims
3
Attributed to this person
Charged
1,571.00
Total submitted
Denied
933.00
2 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 | DAVID IQBAL |
| Role on the policy | Subscriber |
| Policy | B04M000815 |
| Date of birth | 14 Dec 1979 |
| Plan | PLATINUM PPO |
| Covered from | 26 Nov 2024 |
| Covered to | 30 Jul 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 |
|---|---|---|---|---|---|
| CLM0003555 | 16 Sep 2025 | 427.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 427.00 |
| CLM0003554 | 10 Sep 2025 | 638.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003553 | 17 Aug 2025 | 506.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 506.00 |