GRACE IQBAL
Subscriber on policy B10M000741
Claims
2
Attributed to this person
Charged
823.00
Total submitted
Denied
236.91
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 | Subscriber |
| Policy | B10M000741 |
| Date of birth | 31 Jul 1957 |
| Plan | PLATINUM PPO |
| Covered from | 30 Jan 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 |
|---|---|---|---|---|---|
| CLM0003107 | 5 Apr 2026 | 178.00 | CASCADE CARE | Not denied | — |
| CLM0003108 | 9 Oct 2024 | 645.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 236.91 |