CARLA IQBAL
Dependent on policy B02M000160
Claims
2
Attributed to this person
Charged
930.00
Total submitted
Denied
516.83
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 | CARLA IQBAL |
| Role on the policy | Dependent · relationship 19 |
| Policy | B02M000160 |
| Date of birth | 6 Nov 2013 |
| Plan | SILVER HMO |
| Covered from | 2 Sep 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 |
|---|---|---|---|---|---|
| CLM0000727 | 6 Mar 2026 | 324.00 | CASCADE CARE | CARC 16 · BILLING_ERROR | 324.00 |
| CLM0000728 | 17 Feb 2025 | 606.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 192.83 |