ELENA IQBAL
Dependent on policy B02M000510
Claims
3
Attributed to this person
Charged
1,510.00
Total submitted
Denied
791.00
2 denied claims
Patient responsibility
107.85
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 01 |
| Policy | B02M000510 |
| Date of birth | 15 Nov 1988 |
| Plan | PLATINUM PPO |
| Covered from | 27 May 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 107.85 |
| Total | 107.85 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002167 | 1 Dec 2025 | 701.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 701.00 |
| CLM0002168 | 16 Sep 2025 | 719.00 | CASCADE CARE | Not denied | — |
| CLM0002166 | 7 May 2025 | 90.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 90.00 |