HENRY IQBAL
Subscriber on policy B06M000723
Claims
2
Attributed to this person
Charged
241.00
Total submitted
Denied
207.91
2 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 | B06M000723 |
| Date of birth | 18 Aug 1998 |
| Plan | BRONZE EPO |
| Covered from | 20 Jul 2024 |
| Covered to | 20 Dec 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 |
|---|---|---|---|---|---|
| CLM0003232 | 19 Dec 2024 | 181.00 | CASCADE CARE | CARC 16 · BILLING_ERROR | 181.00 |
| CLM0003233 | 10 Oct 2024 | 60.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 26.91 |