RAVI IQBAL
Dependent on policy B10M000733
Claims
3
Attributed to this person
Charged
900.00
Total submitted
Denied
426.00
2 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 | RAVI IQBAL |
| Role on the policy | Dependent · relationship 19 |
| Policy | B10M000733 |
| Date of birth | 11 Jul 2000 |
| Plan | BRONZE EPO |
| Covered from | 18 Nov 2024 |
| Covered to | 1 Apr 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 |
|---|---|---|---|---|---|
| CLM0003075 | 20 Jan 2025 | 285.00 | CASCADE CARE | CARC 109 · COB | 285.00 |
| CLM0003076 | 30 Nov 2024 | 474.00 | CASCADE CARE | Not denied | — |
| CLM0003077 | 24 Nov 2024 | 141.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 141.00 |