LEILA IQBAL
Subscriber on policy B05M000378
Claims
1
Attributed to this person
Charged
403.00
Total submitted
Denied
102.90
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 โ 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 | LEILA IQBAL |
| Role on the policy | Subscriber |
| Policy | B05M000378 |
| Date of birth | 29 Dec 1994 |
| Plan | SILVER HMO |
| Covered from | 1 Jan 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0001603 | 15 Jun 2026 | 403.00 | MERIDIAN HEALTH PLAN | CARC 27 ยท ELIGIBILITY | 102.90 |