Claims / RHP100134

RHP100134

Fernhollow Community Care. Visit on Aug 25, 2026 with Dr. Martin Osei.

Denied

Charged

$408.00

Contract expects

$132.60

Allowed per fee schedule

Payer allowed

$0.00

Payer paid

$0.00

Patient owes

$0.00

Deductible, coinsurance, copay

At stake

$132.60

What happened

$408.00 refused, payer reason code CO-22 (the practice carries it; the patient may not be billed for it): Coordination of benefits: the payer believes another plan should pay first.

Claim number matched exactly. Payer status: Denied. Payer claim number 999044410004.

Bill the correct payerMore than 30 days

Update coverage order with the patient and bill the primary plan.

Due Dec 23, 2026 (in 78 days; 120 days from the date of service to file)

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
99204 New patient visit, moderate complexity Refused	$408.00	$132.60	$0.00	$0.00	$0.00	CO-22 Another payer may be primary $408.00

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CO-22Another payer may be primaryAnother payer is responsible

Coordination of benefits: the payer believes another plan should pay first.

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

Usual fix: Update coverage order with the patient and bill the primary plan.

Every remittance that answered this claim, oldest first.

Paid	Payment	Result	Status	Paid
Sep 14, 2026	99900004410	Denied	Current	$0.00

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