RAVI IQBAL
Dependent on policy B04M000872
Claims
3
Attributed to this person
Charged
1,313.00
Total submitted
Denied
220.61
1 denied claims
Patient responsibility
21.90
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 | B04M000872 |
| Date of birth | 28 Aug 1964 |
| Plan | PLATINUM PPO |
| Covered from | 10 Aug 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 21.90 |
| Total | 21.90 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003776 | 23 Jan 2026 | 146.00 | CASCADE CARE | Not denied | — |
| CLM0003775 | 9 Apr 2025 | 774.00 | CASCADE CARE | CARC 11 · CODING | 220.61 |
| CLM0003777 | 8 Jan 2025 | 393.00 | CASCADE CARE | Not denied | — |