ELENA IQBAL
Dependent on policy B02M000289
Claims
2
Attributed to this person
Charged
1,228.00
Total submitted
Denied
448.00
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 | ELENA IQBAL |
| Role on the policy | Dependent · relationship 19 |
| Policy | B02M000289 |
| Date of birth | 23 Feb 2003 |
| Plan | BRONZE EPO |
| Covered from | 26 Aug 2024 |
| Covered to | 18 Feb 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 |
|---|---|---|---|---|---|
| CLM0001241 | 27 Oct 2024 | 448.00 | CASCADE CARE | CARC 18 · DUPLICATE | 448.00 |
| CLM0001240 | 11 Sep 2024 | 780.00 | CASCADE CARE | Not denied | — |