AMARA IQBAL
Subscriber on policy B04M000446
Claims
1
Attributed to this person
Charged
147.00
Total submitted
Denied
147.00
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 | AMARA IQBAL |
| Role on the policy | Subscriber |
| Policy | B04M000446 |
| Date of birth | 14 Sep 1968 |
| Plan | GOLD PPO |
| Covered from | 2 Oct 2024 |
| Covered to | 19 Feb 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001921 | 8 Feb 2025 | 147.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 147.00 |