YUSUF IQBAL
Dependent on policy B09M000178
Claims
1
Attributed to this person
Charged
430.00
Total submitted
Denied
430.00
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 | YUSUF IQBAL |
| Role on the policy | Dependent · relationship 19 |
| Policy | B09M000178 |
| Date of birth | 26 Jan 2006 |
| 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 |
|---|---|---|---|---|---|
| CLM0000747 | 5 Oct 2024 | 430.00 | CASCADE CARE | CARC 50 · MEDICAL_NECESSITY | 430.00 |