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 B01M000467›ELENA IQBAL

ELENA IQBAL

Subscriber on policy B01M000467

Claims
2
Attributed to this person
Charged
1,273.00
Total submitted
Denied
583.00
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
NameELENA IQBAL
Role on the policySubscriber
PolicyB01M000467
Date of birth8 Feb 2003
PlanPLATINUM PPO
Covered from19 May 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00020848 Apr 2026690.00NORTHSTAR MUTUALNot denied—
CLM00020837 Jan 2026583.00NORTHSTAR MUTUALCARC 29 · TIMELY_FILING583.00