SOFIA IQBAL
Dependent on policy B01M000149
Claims
3
Attributed to this person
Charged
1,149.00
Total submitted
Denied
156.00
1 denied claims
Patient responsibility
27.80
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 | B01M000149 |
| Date of birth | 11 Feb 1977 |
| Plan | GOLD PPO |
| Covered from | 17 Sep 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 27.80 |
| Total | 27.80 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000625 | 27 Jun 2026 | 156.00 | CASCADE CARE | CARC 109 · COB | 156.00 |
| CLM0000623 | 17 Jun 2026 | 139.00 | CASCADE CARE | Not denied | — |
| CLM0000624 | 10 Aug 2025 | 854.00 | CASCADE CARE | Not denied | — |