Claims / RHP100108

RHP100108

Tallow Creek Health Plan. Visit on Jul 14, 2026 with Dr. Martin Osei.

Denied

Charged

$396.00

Contract expects

$214.50

Allowed per fee schedule

Payer allowed

$0.00

Payer paid

$0.00

Patient owes

$0.00

Deductible, coinsurance, copay

At stake

$214.50

What happened

$312.00 refused, payer reason code CO-16 (the practice carries it; the patient may not be billed for it): The claim is missing information or has a billing error. A remark code usually says which field.
$84.00 refused, payer reason code CO-16 (the practice carries it; the patient may not be billed for it): The claim is missing information or has a billing error. A remark code usually says which field.

Claim number matched exactly. Payer status: Denied. Payer claim number 999010411008.

Send a corrected claimDue within 14 days

Read the remark code, fix the field it names, and resubmit.

Due Oct 12, 2026 (in 6 days; 90 days from the date of service to file)

Follow-up In progress

Assigned to Lee Marsh

Send a corrected claim. Added the missing referring provider. Resubmitting as a replacement claim. Dana Whitfield, Sep 27, 2026

What was billed, what the contract says, and what the payer did with each service.

Service	Charged	Contract	Allowed	Paid	Patient	Adjustments
71046 Chest x-ray, two views Refused	$84.00	$45.50	$0.00	$0.00	$0.00	CO-16 Missing or invalid information $84.00
99214 Established patient visit, moderate complexity Refused	$312.00	$169.00	$0.00	$0.00	$0.00	CO-16 Missing or invalid information $312.00

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CO-16Missing or invalid informationMissing or invalid information

The claim is missing information or has a billing error. A remark code usually says which field.

Contractual obligation: The practice absorbs this amount under its contract or the payer rules. It may not be billed to the patient.

Usual fix: Read the remark code, fix the field it names, and resubmit.

Remark codes: MA130 The claim was incomplete or invalid and has no appeal rights. Submit a new, corrected claim.

Every remittance that answered this claim, oldest first.

Paid	Payment	Result	Status	Paid
Aug 23, 2026	EFT9990000411	Denied	Current	$0.00

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