BRIAN IQBAL
Dependent on policy B07M000420
Claims
2
Attributed to this person
Charged
1,010.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
59.00
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 | BRIAN IQBAL |
| Role on the policy | Dependent · relationship 01 |
| Policy | B07M000420 |
| Date of birth | 6 Jun 1950 |
| Plan | BRONZE EPO |
| Covered from | 11 Dec 2024 |
| Covered to | 24 Jul 2025 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 59.00 |
| Total | 59.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001777 | 11 Jul 2025 | 715.00 | CASCADE CARE | Not denied | — |
| CLM0001776 | 1 Jan 2025 | 295.00 | CASCADE CARE | Not denied | — |