UMA IQBAL
Subscriber on policy B08M000854
Claims
1
Attributed to this person
Charged
763.00
Total submitted
Denied
763.00
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 | UMA IQBAL |
| Role on the policy | Subscriber |
| Policy | B08M000854 |
| Date of birth | 1 Dec 1981 |
| Plan | PLATINUM PPO |
| Covered from | 3 Oct 2024 |
| Covered to | 23 Feb 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003825 | 14 Sep 2024 | 763.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 763.00 |