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 / RHP100136

RHP100136

Fernhollow Community Care. Visit on Aug 27, 2026 with Dr. Helen Park.

Denied
Charged
$140.00
Contract expects
$45.24
Allowed per fee schedule
Payer allowed
$0.00
Payer paid
$0.00
Patient owes
$0.00
Deductible, coinsurance, copay
At stake
$45.24

What happened

  • $140.00 refused, payer reason code CO-151 (the practice carries it; the patient may not be billed for it): The payer says the information does not support this many services or this frequency.

Claim number matched exactly. Payer status: Denied. Payer claim number 999044410006.

Next step

AppealMore than 30 days

Appeal with documentation supporting the number of services.

Due Nov 13, 2026 (in 38 days; 60 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
97110 Therapeutic exercise, 15 minutes
Refused
$140.00$45.24$0.00$0.00$0.00
  • CO-151 More services than the payer allows $140.00

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The codes on this claim, explained

CO-151More services than the payer allowsFrequency or quantity limit

The payer says the information does not support this many services or this frequency.

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 with documentation supporting the number of services.

Payment history

Every remittance that answered this claim, oldest first.

PaidPaymentResultStatusPaid
Sep 14, 202699900004410DeniedCurrent$0.00

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As billed

Date of service
Aug 27, 2026
Sent to payer
Aug 29, 2026
Provider
Dr. Helen Park
Location
Riverside OrthopedicsRiverside Orthopedics, West Region
Patient
SYN-0136 (synthetic reference)