RHP100458
Granite Plains Mutual. Visit on Aug 15, 2026 with Dr. Priya Raman.
What happened
- $408.00 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.
- $41.00 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 999020587068.
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 |
|---|---|---|---|---|---|---|
| 99204 New patient visit, moderate complexity Refused | $408.00 | $200.60 | $0.00 | $0.00 | $0.00 |
|
| 93000 Electrocardiogram Refused | $41.00 | $20.06 | $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 31, 2026 | GP99900000587 | Denied | Current | $0.00 |
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As billed
- Date of service
- Aug 15, 2026
- Sent to payer
- Aug 17, 2026
- Provider
- Dr. Priya Raman
- Location
- Riverside OrthopedicsRiverside Orthopedics, West Region
- Patient
- SYN-0458 (synthetic reference)