WENDY IQBAL
Subscriber on policy B05M000341
Claims
1
Attributed to this person
Charged
790.00
Total submitted
Denied
790.00
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 | WENDY IQBAL |
| Role on the policy | Subscriber |
| Policy | B05M000341 |
| Date of birth | 16 Jan 1957 |
| Plan | SILVER HMO |
| Covered from | 2 Mar 2025 |
| Covered to | 4 Nov 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 |
|---|---|---|---|---|---|
| CLM0001454 | 18 Mar 2025 | 790.00 | NORTHSTAR MUTUAL | CARC 197 · AUTHORIZATION | 790.00 |