RHP100354
Tallow Creek Health Plan. Visit on Aug 11, 2026 with Maya Chen, NP.
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.
- $7.00 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 999010411065.
Next step
Confirm the original claim was paid. If it was, no action is needed.
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 Refused | $312.00 | $169.00 | $0.00 | $0.00 | $0.00 |
|
| 36415 Blood draw Refused | $7.00 | $3.90 | $0.00 | $0.00 | $0.00 |
|
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The codes on this claim, explained
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.
Payment history
Every remittance that answered this claim, oldest first.
| Paid | Payment | Result | Status | Paid |
|---|---|---|---|---|
| Aug 23, 2026 | EFT9990000411 | Denied | Current | $0.00 |
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As billed
- Date of service
- Aug 11, 2026
- Sent to payer
- Aug 13, 2026
- Provider
- Maya Chen, NP
- Location
- Riverside OrthopedicsRiverside Orthopedics, West Region
- Patient
- SYN-0354 (synthetic reference)