DenialIntel

Demo Environment — Synthetic Data OnlyThis application contains synthetic demonstration data only. Do not enter or submit patient information (PHI) or other sensitive personal information.
Members›policy B08M000510›TOMAS IQBAL

TOMAS IQBAL

Subscriber on policy B08M000510

Claims
3
Attributed to this person
Charged
1,607.00
Total submitted
Denied
355.00
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

FieldValue
NameTOMAS IQBAL
Role on the policySubscriber
PolicyB08M000510
Date of birth31 Dec 1999
PlanBRONZE EPO
Covered from30 Sep 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000233915 Aug 2026843.00CASCADE CARENot denied—
CLM00023414 Feb 2026355.00CASCADE CARECARC 27 · ELIGIBILITY355.00
CLM000234013 Mar 2025409.00CASCADE CARENot denied—