ELENA IQBAL
Dependent on policy B04M000300
Claims
3
Attributed to this person
Charged
1,147.00
Total submitted
Denied
312.00
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 | ELENA IQBAL |
| Role on the policy | Dependent · relationship 01 |
| Policy | B04M000300 |
| Date of birth | 6 Jan 1997 |
| Plan | SILVER HMO |
| Covered from | 24 Dec 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 |
|---|---|---|---|---|---|
| CLM0001301 | 5 Feb 2026 | 454.00 | CASCADE CARE | Not denied | — |
| CLM0001303 | 9 Dec 2025 | 381.00 | CASCADE CARE | Not denied | — |
| CLM0001302 | 17 May 2025 | 312.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 312.00 |