JULIA IQBAL
Dependent on policy B02M000274
Claims
3
Attributed to this person
Charged
1,124.00
Total submitted
Denied
117.00
1 denied claims
Patient responsibility
94.20
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 | JULIA IQBAL |
| Role on the policy | Dependent · relationship 19 |
| Policy | B02M000274 |
| Date of birth | 14 Feb 2012 |
| Plan | GOLD PPO |
| Covered from | 11 Dec 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 94.20 |
| Total | 94.20 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001194 | 2 Sep 2025 | 117.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 117.00 |
| CLM0001195 | 23 Apr 2025 | 536.00 | CASCADE CARE | Not denied | — |
| CLM0001196 | 11 Nov 2024 | 471.00 | CASCADE CARE | Not denied | — |