Claims / RHP101108

RHP101108

Silver Mesa Senior Advantage. Visit on Jul 23, 2026 with Dr. Grace Lindqvist.

Denied

Charged

$240.00

Contract expects

$100.00

Allowed per fee schedule

Payer allowed

$0.00

Payer paid

$0.00

Patient owes

$0.00

Deductible, coinsurance, copay

At stake

$100.00

What happened

$221.00 refused, payer reason code CO-16 (the practice carries it; the patient may not be billed for it): The claim is missing information or has a billing error. A remark code usually says which field.
$19.00 refused, payer reason code CO-16 (the practice carries it; the patient may not be billed for it): The claim is missing information or has a billing error. A remark code usually says which field.

Claim number matched exactly. Payer status: Denied. Payer claim number 999031102012.

Send a corrected claimMore than 30 days

Read the remark code, fix the field it names, and resubmit.

Due Jul 23, 2027 (in 290 days; 365 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	$92.00	$0.00	$0.00	$0.00	CO-16 Missing or invalid information $221.00
85025 Complete blood count Refused	$19.00	$8.00	$0.00	$0.00	$0.00	CO-16 Missing or invalid information $19.00

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CO-16Missing or invalid informationMissing or invalid information

The claim is missing information or has a billing error. A remark code usually says which field.

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

Usual fix: Read the remark code, fix the field it names, and resubmit.

Remark codes: MA130 The claim was incomplete or invalid and has no appeal rights. Submit a new, corrected claim.

Every remittance that answered this claim, oldest first.

Paid	Payment	Result	Status	Paid
Aug 12, 2026	SM9990031102	Denied	Current	$0.00

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