DenialIntel

Demo Environment — Synthetic Data OnlyThis application contains synthetic demonstration data only. Do not enter or submit patient information (PHI) or other sensitive personal information.
Members›policy B05M000379›IVAN IQBAL

IVAN IQBAL

Subscriber on policy B05M000379

Claims
2
Attributed to this person
Charged
1,056.00
Total submitted
Denied
221.08
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

FieldValue
NameIVAN IQBAL
Role on the policySubscriber
PolicyB05M000379
Date of birth12 Nov 1990
PlanGOLD PPO
Covered from24 Oct 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000160722 Mar 2025606.00CASCADE CARENot denied—
CLM000160825 Jan 2025450.00CASCADE CARECARC 27 · ELIGIBILITY221.08