BRIAN IQBAL
Dependent on policy B03M000870
Claims
2
Attributed to this person
Charged
908.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
305.50
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 | BRIAN IQBAL |
| Role on the policy | Dependent · relationship 01 |
| Policy | B03M000870 |
| Date of birth | 15 Jan 2010 |
| Plan | PLATINUM PPO |
| Covered from | 19 Jan 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 96 · Other | 1 | 305.50 |
| Total | 305.50 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003776 | 6 Mar 2026 | 470.00 | CASCADE CARE | CARC 96 · NON_COVERED | 0.00 |
| CLM0003777 | 20 Jan 2024 | 438.00 | CASCADE CARE | Not denied | — |