VICTOR IQBAL
Dependent on policy B05M000495
Claims
3
Attributed to this person
Charged
1,640.00
Total submitted
Denied
1,450.00
2 denied claims
Patient responsibility
0.00
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
| Field | Value |
|---|---|
| Name | VICTOR IQBAL |
| Role on the policy | Dependent · relationship 01 |
| Policy | B05M000495 |
| Date of birth | 15 Dec 1963 |
| Plan | SILVER HMO |
| Covered from | 25 Aug 2024 |
| Covered to | 13 Mar 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002120 | 8 Mar 2025 | 802.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 802.00 |
| CLM0002122 | 12 Feb 2025 | 190.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002121 | 8 Nov 2024 | 648.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 648.00 |