JULIA IQBAL
Dependent on policy B03M000407
Claims
1
Attributed to this person
Charged
576.00
Total submitted
Denied
576.00
1 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 | JULIA IQBAL |
| Role on the policy | Dependent · relationship 01 |
| Policy | B03M000407 |
| Date of birth | 22 Jan 1958 |
| Plan | SILVER HMO |
| Covered from | 20 Mar 2024 |
| Covered to | 18 Dec 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001658 | 31 Jan 2025 | 576.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 576.00 |