IVAN IQBAL
Subscriber on policy B03M000366
Claims
3
Attributed to this person
Charged
1,418.00
Total submitted
Denied
415.00
1 denied claims
Patient responsibility
30.00
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 | IVAN IQBAL |
| Role on the policy | Subscriber |
| Policy | B03M000366 |
| Date of birth | 13 Aug 1953 |
| Plan | SILVER HMO |
| Covered from | 3 Jan 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 3 · Copay | 1 | 30.00 |
| Total | 30.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001491 | 8 May 2026 | 466.00 | CASCADE CARE | Not denied | — |
| CLM0001493 | 19 Oct 2025 | 537.00 | CASCADE CARE | Not denied | — |
| CLM0001492 | 21 Dec 2024 | 415.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 415.00 |