RHP100757
Tallow Creek Health Plan. Visit on Sep 6, 2026 with Dr. Nina Castellano.
What happened
- $3480.00 refused, payer reason code CO-27 (the practice carries it; the patient may not be billed for it): The service date is after the patient coverage ended.
Claim number matched exactly. Payer status: Denied. Payer claim number 999010498065.
Next step
Verify eligibility for the service date and bill the plan that covered it. The patient can be billed only when the payer sends it as patient responsibility (group PR).
Due Dec 5, 2026 (in 60 days; 90 days from the date of service to file)
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 |
|---|---|---|---|---|---|---|
| 27447 Total knee replacement Refused | $3,480.00 | $1,885.00 | $0.00 | $0.00 | $0.00 |
|
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The codes on this claim, explained
The service date is after the patient coverage ended.
Contractual obligation: The practice absorbs this amount under its contract or the payer rules. It may not be billed to the patient.
Usual fix: Verify eligibility for the service date and bill the plan that covered it. The patient can be billed only when the payer sends it as patient responsibility (group PR).
Payment history
Every remittance that answered this claim, oldest first.
| Paid | Payment | Result | Status | Paid |
|---|---|---|---|---|
| Sep 21, 2026 | EFT9990000498 | Denied | Current | $0.00 |
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As billed
- Date of service
- Sep 6, 2026
- Sent to payer
- Sep 8, 2026
- Provider
- Dr. Nina Castellano
- Location
- Riverside OrthopedicsRiverside Orthopedics, West Region
- Patient
- SYN-0757 (synthetic reference)