ELENA IQBAL
Subscriber on policy B07M000652
Claims
2
Attributed to this person
Charged
815.00
Total submitted
Denied
815.00
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 | ELENA IQBAL |
| Role on the policy | Subscriber |
| Policy | B07M000652 |
| Date of birth | 7 Apr 1995 |
| Plan | PLATINUM PPO |
| Covered from | 5 Aug 2024 |
| 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 |
|---|---|---|---|---|---|
| CLM0002715 | 24 Nov 2025 | 80.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 80.00 |
| CLM0002714 | 14 Jul 2024 | 735.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 735.00 |