YUSUF IQBAL
Dependent on policy B02M000274
Claims
2
Attributed to this person
Charged
1,153.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
50.00
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 | YUSUF IQBAL |
| Role on the policy | Dependent · relationship 01 |
| Policy | B02M000274 |
| Date of birth | 1 Aug 2003 |
| Plan | GOLD PPO |
| Covered from | 11 Dec 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 3 · Copay | 1 | 50.00 |
| Total | 50.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001192 | 21 May 2026 | 721.00 | CASCADE CARE | Not denied | — |
| CLM0001193 | 26 Feb 2026 | 432.00 | CASCADE CARE | Not denied | — |