JULIA IQBAL
Subscriber on policy B02M000510
Claims
3
Attributed to this person
Charged
1,876.00
Total submitted
Denied
252.19
3 denied claims
Patient responsibility
756.60
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 | Subscriber |
| Policy | B02M000510 |
| Date of birth | 4 Nov 1980 |
| Plan | PLATINUM PPO |
| Covered from | 27 May 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 50 · Other | 1 | 551.20 |
| CARC 96 · Other | 1 | 205.40 |
| Total | 756.60 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002163 | 21 Sep 2025 | 712.00 | CASCADE CARE | CARC 50 · MEDICAL_NECESSITY | 252.19 |
| CLM0002165 | 10 Nov 2024 | 848.00 | CASCADE CARE | CARC 50 · MEDICAL_NECESSITY | 0.00 |
| CLM0002164 | 19 Oct 2024 | 316.00 | CASCADE CARE | CARC 96 · NON_COVERED | 0.00 |