Claims / RHP100114

RHP100114

Granite Plains Mutual. Visit on Aug 10, 2026 with Dr. Helen Park.

Underpaid

Charged

$210.00

Contract expects

$102.66

Allowed per fee schedule

Payer allowed

$90.34

Payer paid

$90.34

Patient owes

$0.00

Deductible, coinsurance, copay

At stake

$12.32

What happened

Claim number matched exactly. Payer status: Processed as primary. Payer claim number 999020587004.

AppealMore than 30 days

Dispute the shortfall against the contracted rate. Attach the fee schedule page.

Due Feb 27, 2027 (in 144 days; 180 days from the remittance date to appeal)

Follow-up

Assigned to Nobody yet

Nobody has recorded a follow-up yet.

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

Service	Charged	Contract	Allowed	Paid	Patient	Adjustments
97110 Therapeutic exercise, 15 minutes	$210.00	$102.66	$90.34	$90.34	$0.00	CO-45 Above the contracted rate $119.66

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CO-45Above the contracted rateContract rate

The charge is higher than the fee schedule or contracted amount. The difference is written off.

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

Usual fix: Expected. Only a problem if the allowed amount is below your contract rate.

Every remittance that answered this claim, oldest first.

Paid	Payment	Result	Status	Paid
Aug 31, 2026	GP99900000587	Underpaid	Current	$90.34

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