HENRY IQBAL
Subscriber on policy B05M000705
Claims
3
Attributed to this person
Charged
1,900.00
Total submitted
Denied
855.00
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 | B05M000705 |
| Date of birth | 22 Oct 1976 |
| Plan | GOLD PPO |
| Covered from | 16 Jun 2024 |
| Covered to | 31 Aug 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 |
|---|---|---|---|---|---|
| CLM0003026 | 28 Sep 2024 | 855.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 855.00 |
| CLM0003027 | 18 Jul 2024 | 271.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003028 | 19 Jun 2024 | 774.00 | NORTHSTAR MUTUAL | Not denied | — |