YUSUF IQBAL
Subscriber on policy B04M000379
Claims
3
Attributed to this person
Charged
887.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
133.25
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 | YUSUF IQBAL |
| Role on the policy | Subscriber |
| Policy | B04M000379 |
| Date of birth | 9 Sep 1964 |
| Plan | SILVER HMO |
| Covered from | 20 Oct 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 96 · Other | 1 | 133.25 |
| Total | 133.25 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001614 | 12 Jun 2026 | 205.00 | CASCADE CARE | CARC 96 · NON_COVERED | 0.00 |
| CLM0001615 | 5 May 2026 | 203.00 | CASCADE CARE | Not denied | — |
| CLM0001613 | 7 Oct 2025 | 479.00 | CASCADE CARE | Not denied | — |