GRACE IQBAL
Dependent on policy B01M000834
Claims
3
Attributed to this person
Charged
1,577.00
Total submitted
Denied
148.33
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 | GRACE IQBAL |
| Role on the policy | Dependent · relationship 01 |
| Policy | B01M000834 |
| Date of birth | 21 Apr 1948 |
| Plan | BRONZE EPO |
| Covered from | 5 Nov 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 |
|---|---|---|---|---|---|
| CLM0003703 | 15 May 2025 | 820.00 | CASCADE CARE | Not denied | — |
| CLM0003704 | 24 Feb 2025 | 418.00 | CASCADE CARE | Not denied | — |
| CLM0003705 | 7 Dec 2024 | 339.00 | CASCADE CARE | CARC 18 · DUPLICATE | 148.33 |