LEILA IQBAL
Subscriber on policy B01M000055
Claims
3
Attributed to this person
Charged
1,588.00
Total submitted
Denied
540.00
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 | LEILA IQBAL |
| Role on the policy | Subscriber |
| Policy | B01M000055 |
| Date of birth | 24 Feb 2002 |
| Plan | PLATINUM PPO |
| Covered from | 30 Apr 2024 |
| Covered to | 17 Sep 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 |
|---|---|---|---|---|---|
| CLM0000221 | 2 Sep 2024 | 319.00 | CASCADE CARE | Not denied | — |
| CLM0000223 | 2 Jun 2024 | 729.00 | CASCADE CARE | Not denied | — |
| CLM0000222 | 31 May 2024 | 540.00 | CASCADE CARE | CARC 18 · DUPLICATE | 540.00 |