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 / RHP100647

RHP100647

Fernhollow Community Care. Visit on Aug 23, 2026 with Jordan Blake, PA-C.

Paid as expected
Charged
$912.00
Contract expects
$296.40
Allowed per fee schedule
Payer allowed
$296.40
Payer paid
$296.40
Patient owes
$0.00
Deductible, coinsurance, copay
At stake
$0.00

What happened

  • Allowed at the contract rate and paid in full: $296.40.

Claim number matched exactly. Payer status: Processed as primary. Payer claim number 999044410055.

Next step

No action needed

Paid correctly.

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
45380 Colonoscopy with biopsy$912.00$296.40$296.40$296.40$0.00
  • CO-45 Above the contracted rate $615.60

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The codes on this claim, explained

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.

Payment history

Every remittance that answered this claim, oldest first.

PaidPaymentResultStatusPaid
Sep 15, 202699900004410Paid as expectedCurrent$296.40

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As billed

Date of service
Aug 23, 2026
Sent to payer
Aug 25, 2026
Provider
Jordan Blake, PA-C
Location
Eastgate Family CareEastgate Family Care, East Region
Patient
SYN-0647 (synthetic reference)