HENRY IQBAL
Subscriber on policy B05M000629
Claims
2
Attributed to this person
Charged
1,358.00
Total submitted
Denied
788.00
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 | HENRY IQBAL |
| Role on the policy | Subscriber |
| Policy | B05M000629 |
| Date of birth | 28 May 1958 |
| Plan | PLATINUM PPO |
| Covered from | 14 Apr 2024 |
| Covered to | 5 Jul 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002704 | 29 Apr 2024 | 570.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002703 | 4 Apr 2024 | 788.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 788.00 |