LEILA IQBAL
Subscriber on policy B06M000256
Claims
2
Attributed to this person
Charged
718.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
42.40
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 | LEILA IQBAL |
| Role on the policy | Subscriber |
| Policy | B06M000256 |
| Date of birth | 4 Dec 1953 |
| Plan | GOLD PPO |
| Covered from | 22 Feb 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 42.40 |
| Total | 42.40 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001214 | 23 Jun 2026 | 506.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001215 | 21 Jul 2024 | 212.00 | MERIDIAN HEALTH PLAN | Not denied | — |