X12 Ingest & Denial Analytics

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Members›policy B05M000409›KEVIN IQBAL

KEVIN IQBAL

Dependent on policy B05M000409

Claims
3
Attributed to this person
Charged
2,242.00
Total submitted
Denied
730.00
1 denied claims
Patient responsibility
96.00
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

FieldValue
NameKEVIN IQBAL
Role on the policyDependent · relationship 19
PolicyB05M000409
Date of birth27 May 1995
PlanGOLD PPO
Covered from9 Jun 2024
Covered toopen

Patient responsibility reported on the 835

ReasonAdjustmentsAmount reported
CARC 1 · Deductible196.00
Total96.00

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00017414 Apr 2026872.00MERIDIAN HEALTH PLANNot denied—
CLM000174031 Oct 2025730.00MERIDIAN HEALTH PLANCARC 29 · TIMELY_FILING730.00
CLM00017398 Dec 2024640.00MERIDIAN HEALTH PLANNot denied—