ZARA IQBAL
Dependent on policy B08M000389
Claims
1
Attributed to this person
Charged
412.00
Total submitted
Denied
412.00
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 | ZARA IQBAL |
| Role on the policy | Dependent · relationship 01 |
| Policy | B08M000389 |
| Date of birth | 1 Oct 1957 |
| Plan | PLATINUM PPO |
| Covered from | 4 Feb 2024 |
| Covered to | 18 May 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 |
|---|---|---|---|---|---|
| CLM0001779 | 17 Mar 2024 | 412.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 412.00 |