DAVID IQBAL
Subscriber on policy B05M000407
Claims
1
Attributed to this person
Charged
561.00
Total submitted
Denied
561.00
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 | DAVID IQBAL |
| Role on the policy | Subscriber |
| Policy | B05M000407 |
| Date of birth | 3 Mar 1955 |
| Plan | PLATINUM PPO |
| Covered from | 28 Mar 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 |
|---|---|---|---|---|---|
| CLM0001732 | 28 Jan 2026 | 561.00 | MERIDIAN HEALTH PLAN | CARC 197 ยท AUTHORIZATION | 561.00 |