RHP100151
Granite Plains Mutual. Visit on Sep 6, 2026 with Dr. Martin Osei.
What happened
- Allowed at the contract rate. The payer paid $128.40 and $25.00 is the patient share.
Suggested match on payer, service date and charge. The payer returned claim number "RHP1OO151", which is not on file. RHP100151 has the same payer, service date and charge. Confirm before posting. Payer status: Processed as primary. Payer claim number 999020631001.
Next step
The payer returned claim number "RHP1OO151", which is not on file. RHP100151 has the same payer, service date and charge. Confirm before posting.
Assigned to Nobody yet
Nobody has recorded a follow-up yet.
Line by line
What was billed, what the contract says, and what the payer did with each service.
| Service | Charged | Contract | Allowed | Paid | Patient | Adjustments |
|---|---|---|---|---|---|---|
| 99214 Established patient visit, moderate complexity | $312.00 | $153.40 | $153.40 | $128.40 | $25.00 |
|
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The codes on this claim, explained
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.
The fixed copay the patient owes for the visit.
Patient responsibility: The patient owes this amount (deductible, coinsurance, copay or a non-covered service the patient agreed to).
Usual fix: Collect the copay if it was not collected at check in.
Payment history
Every remittance that answered this claim, oldest first.
| Paid | Payment | Result | Status | Paid |
|---|---|---|---|---|
| Sep 28, 2026 | GP99900000631 | Paid as expected | Current | $128.40 |
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As billed
- Date of service
- Sep 6, 2026
- Sent to payer
- Sep 8, 2026
- Provider
- Dr. Martin Osei
- Location
- Main CampusMain Campus, East Region
- Patient
- SYN-0151 (synthetic reference)