DenialIntel

Demo Environment — Synthetic Data OnlyThis application contains synthetic demonstration data only. Do not enter or submit patient information (PHI) or other sensitive personal information.
Members›policy B07M000420›DAVID IQBAL

DAVID IQBAL

Dependent on policy B07M000420

Claims
3
Attributed to this person
Charged
1,448.00
Total submitted
Denied
649.00
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

FieldValue
NameDAVID IQBAL
Role on the policyDependent · relationship 19
PolicyB07M000420
Date of birth16 Mar 1983
PlanBRONZE EPO
Covered from11 Dec 2024
Covered to24 Jul 2025

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000177816 Aug 2025649.00CASCADE CARECARC 27 · ELIGIBILITY649.00
CLM000178028 Dec 2024669.00CASCADE CARENot denied—
CLM000177917 Dec 2024130.00CASCADE CARENot denied—