ZARA IQBAL
Dependent on policy B04M000806
Claims
1
Attributed to this person
Charged
88.00
Total submitted
Denied
88.00
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 | ZARA IQBAL |
| Role on the policy | Dependent · relationship 01 |
| Policy | B04M000806 |
| Date of birth | 17 Oct 1971 |
| Plan | GOLD PPO |
| Covered from | 30 Aug 2024 |
| Covered to | 7 Jan 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 |
|---|---|---|---|---|---|
| CLM0003518 | 9 Feb 2025 | 88.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 88.00 |