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 B05M000856›CARLA IQBAL

CARLA IQBAL

Dependent on policy B05M000856

Claims
3
Attributed to this person
Charged
971.00
Total submitted
Denied
552.00
2 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
NameCARLA IQBAL
Role on the policyDependent · relationship 19
PolicyB05M000856
Date of birth25 Nov 1994
PlanGOLD PPO
Covered from7 May 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000363421 Aug 2025419.00CASCADE CARENot denied—
CLM000363513 Jul 202584.00CASCADE CARECARC 27 · ELIGIBILITY84.00
CLM000363311 Apr 2024468.00CASCADE CARECARC 26 · ELIGIBILITY468.00