Claims / RHP100857

RHP100857

Granite Plains Mutual. Visit on Sep 14, 2026 with Dr. Tomas Varga.

Paid as expected

Charged

$528.00

Contract expects

$259.60

Allowed per fee schedule

Payer allowed

$259.60

Payer paid

$207.68

Patient owes

$51.92

Deductible, coinsurance, copay

At stake

$0.00

What happened

Allowed at the contract rate. The payer paid $207.68 and $51.92 is the patient share.

Claim number matched exactly. Payer status: Processed as primary. Payer claim number 999020631065.

No action needed

Paid correctly. The patient share goes on the next statement.

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
93306 Echocardiogram, complete	$528.00	$259.60	$259.60	$207.68	$51.92	CO-45 Above the contracted rate $268.40 PR-2 Coinsurance $51.92

Scroll sideways to see every column.

CO-45Above the contracted rateContract rate

The charge is higher than the fee schedule or contracted amount. The difference is written off.

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

Usual fix: Expected. Only a problem if the allowed amount is below your contract rate.

PR-2CoinsurancePatient share

The patient percentage share of the allowed amount.

Patient responsibility: The patient owes this amount (deductible, coinsurance, copay or a non-covered service the patient agreed to).

Usual fix: Bill the patient for the coinsurance amount shown.

Every remittance that answered this claim, oldest first.

Paid	Payment	Result	Status	Paid
Sep 29, 2026	GP99900000631	Paid as expected	Current	$207.68

Scroll sideways to see every column.