Claims / RHP100135

RHP100135

Fernhollow Community Care. Visit on Aug 26, 2026 with Dr. Alana Reyes.

Partially denied

Charged

$262.00

Contract expects

$100.62

Allowed per fee schedule

Payer allowed

$85.02

Payer paid

$85.02

Patient owes

$0.00

Deductible, coinsurance, copay

At stake

$15.60

What happened

Claim number matched exactly. Payer status: Processed as primary. Payer claim number 999044410005.

Research the claimMore than 30 days

The payer did not return every billed line. Call the payer to find out whether the missing line is still being processed, and resubmit it if not.

Due Dec 24, 2026 (in 79 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
99213 Established patient visit, low complexity	$221.00	$71.76	$71.76	$71.76	$0.00	CO-45 Above the contracted rate $149.24
90471 Vaccine administration	$41.00	$13.26	$13.26	$13.26	$0.00	CO-45 Above the contracted rate $27.74
90686 Flu vaccine Not returned by the payer	$48.00	$15.60	$0.00	$0.00	$0.00	None

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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
Sep 14, 2026	99900004410	Partially denied	Current	$85.02

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