UMA IQBAL
Dependent on policy B10M000395
Claims
2
Attributed to this person
Charged
826.00
Total submitted
Denied
479.00
1 denied claims
Patient responsibility
52.05
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 | Dependent · relationship 19 |
| Policy | B10M000395 |
| Date of birth | 6 Nov 2009 |
| Plan | BRONZE EPO |
| Covered from | 31 May 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 52.05 |
| Total | 52.05 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001640 | 15 Dec 2025 | 347.00 | CASCADE CARE | Not denied | — |
| CLM0001639 | 9 May 2025 | 479.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 479.00 |