TOMAS IQBAL
Subscriber on policy B08M000522
Claims
2
Attributed to this person
Charged
1,135.00
Total submitted
Denied
854.00
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 | TOMAS IQBAL |
| Role on the policy | Subscriber |
| Policy | B08M000522 |
| Date of birth | 22 Sep 1976 |
| Plan | PLATINUM PPO |
| Covered from | 3 Apr 2024 |
| Covered to | open |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002378 | 1 Feb 2025 | 281.00 | CASCADE CARE | Not denied | — |
| CLM0002380 | 2 Apr 2024 | 854.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 854.00 |