SOFIA IQBAL
Dependent on policy B01M000055
Claims
2
Attributed to this person
Charged
793.00
Total submitted
Denied
793.00
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 | SOFIA IQBAL |
| Role on the policy | Dependent · relationship 01 |
| Policy | B01M000055 |
| Date of birth | 26 Mar 2011 |
| 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 |
|---|---|---|---|---|---|
| CLM0000224 | 9 Jun 2024 | 385.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 385.00 |
| CLM0000225 | 7 May 2024 | 408.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 408.00 |