KEVIN IQBAL
Dependent on policy B06M000301
Claims
3
Attributed to this person
Charged
1,272.00
Total submitted
Denied
205.00
1 denied claims
Patient responsibility
170.00
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 | KEVIN IQBAL |
| Role on the policy | Dependent · relationship 01 |
| Policy | B06M000301 |
| Date of birth | 26 May 1988 |
| Plan | PLATINUM PPO |
| Covered from | 21 Apr 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 170.00 |
| Total | 170.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001386 | 22 Jun 2025 | 217.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001387 | 17 Jun 2025 | 850.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001385 | 22 May 2025 | 205.00 | MERIDIAN HEALTH PLAN | CARC 197 · AUTHORIZATION | 205.00 |