TOMAS IQBAL
Dependent on policy B09M000178
Claims
1
Attributed to this person
Charged
75.00
Total submitted
Denied
75.00
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 | Dependent · relationship 01 |
| Policy | B09M000178 |
| Date of birth | 28 Apr 1975 |
| Plan | SILVER HMO |
| Covered from | 24 Aug 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 |
|---|---|---|---|---|---|
| CLM0000744 | 11 Feb 2025 | 75.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 75.00 |