TOMAS IQBAL
Subscriber on policy B05M000848
Claims
1
Attributed to this person
Charged
682.00
Total submitted
Denied
682.00
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 | TOMAS IQBAL |
| Role on the policy | Subscriber |
| Policy | B05M000848 |
| Date of birth | 10 Dec 1950 |
| Plan | PLATINUM PPO |
| Covered from | 31 Aug 2024 |
| Covered to | 24 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 |
|---|---|---|---|---|---|
| CLM0003594 | 29 Mar 2025 | 682.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 682.00 |