PRIYA IQBAL
Dependent on policy B05M000580
Claims
3
Attributed to this person
Charged
1,365.00
Total submitted
Denied
867.00
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 — 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 | PRIYA IQBAL |
| Role on the policy | Dependent · relationship 01 |
| Policy | B05M000580 |
| Date of birth | 11 Jun 1957 |
| Plan | GOLD PPO |
| Covered from | 26 May 2024 |
| Covered to | 1 Feb 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 |
|---|---|---|---|---|---|
| CLM0002469 | 26 Nov 2024 | 147.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002467 | 15 Aug 2024 | 867.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 867.00 |
| CLM0002468 | 8 Jul 2024 | 351.00 | MERIDIAN HEALTH PLAN | Not denied | — |