Demonstration environment. Fictional organization, fictional payers, synthetic data throughout. No patient data. Changes you make stay in this browser only.
ParvinCorpPayer Remittance Bridge

Ridgeline Health Partners. Multi-specialty physician group, 6 sites, 14 providers. This demo covers 12 billing providers, 4 billing locations and 4 contracted payers.

Signed in as

Dana Whitfield, Billing Operations Lead. Imports remittance files, works denials and underpayments, and is the only role that can open a raw remittance file from a payer (835).

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Claims / RHP100112

RHP100112

Granite Plains Mutual. Visit on Feb 18, 2026 with Dr. Martin Osei.

Denied
Charged
$312.00
Contract expects
$153.40
Allowed per fee schedule
Payer allowed
$0.00
Payer paid
$0.00
Patient owes
$0.00
Deductible, coinsurance, copay
At stake
$153.40

What happened

  • $312.00 refused, payer reason code CO-29 (the practice carries it; the patient may not be billed for it): The claim reached the payer after its timely filing limit.

Claim number matched exactly. Payer status: Denied. Payer claim number 999020587002.

Next step

AppealMore than 30 days

Appeal only with proof of timely submission; otherwise write it off. It cannot be billed to the patient.

Due Feb 27, 2027 (in 144 days; 180 days from the remittance date to appeal)

Print appeal summary

Follow-up

Assigned to Nobody yet

Nobody has recorded a follow-up yet.

Proof (optional)

Line by line

What was billed, what the contract says, and what the payer did with each service.

ServiceChargedContractAllowedPaidPatientAdjustments
99214 Established patient visit, moderate complexity
Refused
$312.00$153.40$0.00$0.00$0.00
  • CO-29 Filing deadline passed $312.00

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The codes on this claim, explained

CO-29Filing deadline passedFiled too late

The claim reached the payer after its timely filing limit.

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

Usual fix: Appeal only with proof of timely submission; otherwise write it off. It cannot be billed to the patient.

Payment history

Every remittance that answered this claim, oldest first.

PaidPaymentResultStatusPaid
Aug 31, 2026GP99900000587DeniedCurrent$0.00

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As billed

Date of service
Feb 18, 2026
Sent to payer
Aug 25, 2026
Provider
Dr. Martin Osei
Location
StonebridgeStonebridge, West Region
Patient
SYN-0112 (synthetic reference)