RAVI IQBAL
Dependent on policy B04M000265
Claims
1
Attributed to this person
Charged
137.00
Total submitted
Denied
25.20
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 | RAVI IQBAL |
| Role on the policy | Dependent · relationship 01 |
| Policy | B04M000265 |
| Date of birth | 20 Mar 1960 |
| Plan | PLATINUM PPO |
| Covered from | 22 May 2024 |
| Covered to | open |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001148 | 22 May 2025 | 137.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 25.20 |