Claims / RHP100155

RHP100155

Granite Plains Mutual. Visit on Sep 10, 2026 with Dr. Alana Reyes.

Denied

Charged

$312.00

Contract expects

$153.40

Allowed per fee schedule

Payer allowed

$0.00

Payer paid

$0.00

Patient owes

$0.00

Deductible, coinsurance, copay

At stake

$153.40

What happened

$312.00 refused, payer reason code CO-18 (the practice carries it; the patient may not be billed for it): The payer already received this exact claim or service.

Claim number matched exactly. Payer status: Denied. Payer claim number 999020631005.

No action needed

Confirm the original claim was paid. If it was, no action is needed.

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
99214 Established patient visit, moderate complexity Refused	$312.00	$153.40	$0.00	$0.00	$0.00	CO-18 Exact duplicate $312.00

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CO-18Exact duplicateDuplicate

The payer already received this exact claim or service.

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

Usual fix: Confirm the original claim was paid. If it was, no action is needed.

Every remittance that answered this claim, oldest first.

Paid	Payment	Result	Status	Paid
Sep 28, 2026	GP99900000631	Denied	Current	$0.00

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