SOFIA IQBAL
Subscriber on policy B05M000162
Claims
2
Attributed to this person
Charged
864.00
Total submitted
Denied
727.00
1 denied claims
Patient responsibility
20.55
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 | Subscriber |
| Policy | B05M000162 |
| Date of birth | 13 Jun 1989 |
| Plan | BRONZE EPO |
| Covered from | 6 May 2025 |
| Covered to | 30 Aug 2025 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 20.55 |
| Total | 20.55 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000677 | 4 Oct 2025 | 727.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 727.00 |
| CLM0000678 | 22 May 2025 | 137.00 | MERIDIAN HEALTH PLAN | Not denied | — |