VICTOR IQBAL
Subscriber on policy B05M000475
Claims
3
Attributed to this person
Charged
2,264.00
Total submitted
Denied
767.00
2 denied claims
Patient responsibility
653.55
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 | VICTOR IQBAL |
| Role on the policy | Subscriber |
| Policy | B05M000475 |
| Date of birth | 22 May 1972 |
| Plan | PLATINUM PPO |
| Covered from | 14 May 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 50 · Other | 1 | 557.70 |
| CARC 1 · Deductible | 1 | 95.85 |
| Total | 653.55 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001997 | 7 Jul 2026 | 858.00 | MERIDIAN HEALTH PLAN | CARC 50 · MEDICAL_NECESSITY | 0.00 |
| CLM0001995 | 7 Aug 2025 | 767.00 | MERIDIAN HEALTH PLAN | CARC 109 · COB | 767.00 |
| CLM0001996 | 29 Jul 2025 | 639.00 | MERIDIAN HEALTH PLAN | Not denied | — |