DAVID IQBAL
Dependent on policy B06M000504
Claims
1
Attributed to this person
Charged
306.00
Total submitted
Denied
306.00
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 | DAVID IQBAL |
| Role on the policy | Dependent · relationship 01 |
| Policy | B06M000504 |
| Date of birth | 8 Jun 1990 |
| Plan | PLATINUM PPO |
| Covered from | 28 May 2025 |
| Covered to | open |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002250 | 2 May 2025 | 306.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 306.00 |