DenialIntel

Demo Environment — Synthetic Data OnlyThis application contains synthetic demonstration data only. Do not enter or submit patient information (PHI) or other sensitive personal information.
Members›policy B05M000297›ZARA IQBAL

ZARA IQBAL

Dependent on policy B05M000297

Claims
3
Attributed to this person
Charged
2,072.00
Total submitted
Denied
723.00
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

FieldValue
NameZARA IQBAL
Role on the policyDependent · relationship 01
PolicyB05M000297
Date of birth20 Jan 2003
PlanGOLD PPO
Covered from26 Feb 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000122825 Nov 2025819.00NORTHSTAR MUTUALNot denied—
CLM000122612 May 2025723.00NORTHSTAR MUTUALCARC 18 · DUPLICATE723.00
CLM00012275 Mar 2025530.00NORTHSTAR MUTUALNot denied—