VICTOR IQBAL
Subscriber on policy B02M000717
Claims
2
Attributed to this person
Charged
764.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
125.20
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 | VICTOR IQBAL |
| Role on the policy | Subscriber |
| Policy | B02M000717 |
| Date of birth | 12 Oct 1953 |
| Plan | SILVER HMO |
| Covered from | 22 Feb 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 125.20 |
| Total | 125.20 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003011 | 30 Nov 2025 | 626.00 | CASCADE CARE | Not denied | — |
| CLM0003010 | 23 Jul 2025 | 138.00 | CASCADE CARE | Not denied | — |