JULIA IQBAL
Subscriber on policy B08M000389
Claims
2
Attributed to this person
Charged
1,227.00
Total submitted
Denied
102.12
1 denied claims
Patient responsibility
116.40
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 | JULIA IQBAL |
| Role on the policy | Subscriber |
| Policy | B08M000389 |
| Date of birth | 1 Jun 1959 |
| Plan | PLATINUM PPO |
| Covered from | 4 Feb 2024 |
| Covered to | 18 May 2024 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 116.40 |
| Total | 116.40 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001778 | 8 May 2024 | 451.00 | CASCADE CARE | CARC 18 · DUPLICATE | 102.12 |
| CLM0001777 | 13 Jan 2024 | 776.00 | CASCADE CARE | Not denied | — |