Claims / RHP100848

RHP100848

Granite Plains Mutual. Visit on Sep 4, 2026 with Dr. Alana Reyes.

Denied

Charged

$228.00

Contract expects

$112.10

Allowed per fee schedule

Payer allowed

$0.00

Payer paid

$0.00

Patient owes

$0.00

Deductible, coinsurance, copay

At stake

$112.10

What happened

$221.00 refused, payer reason code CO-4 (the practice carries it; the patient may not be billed for it): The procedure code does not agree with the modifier billed, or a required modifier is missing.
$7.00 refused, payer reason code CO-4 (the practice carries it; the patient may not be billed for it): The procedure code does not agree with the modifier billed, or a required modifier is missing.

Claim number matched exactly. Payer status: Denied. Payer claim number 999020631056.

Send a corrected claimMore than 30 days

Fix the modifier and send a corrected claim.

Due Mar 3, 2027 (in 148 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
99213 Established patient visit, low complexity Refused	$221.00	$108.56	$0.00	$0.00	$0.00	CO-4 Modifier does not fit the code $221.00
36415 Blood draw Refused	$7.00	$3.54	$0.00	$0.00	$0.00	CO-4 Modifier does not fit the code $7.00

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CO-4Modifier does not fit the codeCoding error

The procedure code does not agree with the modifier billed, or a required modifier is missing.

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

Usual fix: Fix the modifier and send a corrected claim.

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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