Claims / RHP100406

RHP100406

Granite Plains Mutual. Visit on Aug 13, 2026 with Dr. Helen Park.

Denied

Charged

$439.00

Contract expects

$215.94

Allowed per fee schedule

Payer allowed

$0.00

Payer paid

$0.00

Patient owes

$0.00

Deductible, coinsurance, copay

At stake

$215.94

What happened

$439.00 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 999020587016.

Bill the correct payerMore than 30 days

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

Due Feb 9, 2027 (in 126 days; 180 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
99215 Established patient visit, high complexity Refused	$439.00	$215.94	$0.00	$0.00	$0.00	CO-22 Another payer may be primary $439.00

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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
Aug 31, 2026	GP99900000587	Denied	Current	$0.00

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