FIONA IQBAL
Dependent on policy B02M000494
Claims
2
Attributed to this person
Charged
565.00
Total submitted
Denied
565.00
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 | FIONA IQBAL |
| Role on the policy | Dependent · relationship 01 |
| Policy | B02M000494 |
| Date of birth | 2 Jul 1980 |
| Plan | GOLD PPO |
| Covered from | 25 Feb 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0002106 | 31 Aug 2025 | 413.00 | CASCADE CARE | CARC 11 · CODING | 413.00 |
| CLM0002105 | 9 Feb 2025 | 152.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 152.00 |