Work queue
22 claims with $13,199.98 in play, including $95.68 the practice may owe back, ordered by the day the chance to act runs out. Appeal windows count from the remittance date; corrected claims and refiles count from the date of service, against each payer's filing limit. Claims a payer has not answered after 30 days are here too.
Payments dated Aug 4, 2026 to Sep 29, 2026, as of Oct 7, 2026. Whole organization, every site.
Filtered to: payer Silver Mesa Senior Advantage or Tallow Creek Health Plan; region East Region or West Region; next step Appeal, Bill the correct payer or Review for refund.
Pick as many as you like in each row. A claim shows if it matches any pick in a row, and every row.
Due within 14 days (4)
Do these this week.
| Claim | Result | Recommended | Due | Assigned to | Amount |
|---|---|---|---|---|---|
| RHP101147 Silver Mesa Senior Advantage Dr. Victor Adeyemi Riverside Orthopedics | Denied | Appeal. If authorization was obtained, appeal with the number. If not, write off; it cannot be billed to the patient. | Oct 12, 2026 in 5 days | Nobody yet Not started | $1,050.00 |
| RHP101121 Silver Mesa Senior Advantage Dr. Tomas Varga Riverside Orthopedics | Denied | Appeal. Appeal with the visit note and any supporting records. | Oct 12, 2026 in 5 days | Nobody yet Not started | $720.00 |
| RHP100223 Silver Mesa Senior Advantage Dr. Grace Lindqvist Main Campus | Denied | Appeal. Appeal with the visit note and any supporting records. | Oct 12, 2026 in 5 days | Nobody yet Not started | $220.00 |
| RHP100221 Silver Mesa Senior Advantage Jordan Blake, PA-C Stonebridge | Denied | Appeal. Check the provider enrollment with this payer. A credentialing gap is the usual cause. | Oct 12, 2026 in 5 days | Dana Whitfield In progress | $147.00 |
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- Silver Mesa Senior AdvantageDr. Victor AdeyemiRiverside OrthopedicsDenied
Appeal. If authorization was obtained, appeal with the number. If not, write off; it cannot be billed to the patient.
Assigned to nobody yetNot started - Silver Mesa Senior AdvantageDr. Tomas VargaRiverside OrthopedicsDenied
Appeal. Appeal with the visit note and any supporting records.
Assigned to nobody yetNot started - Silver Mesa Senior AdvantageDr. Grace LindqvistMain CampusDenied
Appeal. Appeal with the visit note and any supporting records.
Assigned to nobody yetNot started - Silver Mesa Senior AdvantageJordan Blake, PA-CStonebridgeDenied
Appeal. Check the provider enrollment with this payer. A credentialing gap is the usual cause.
Assigned to Dana WhitfieldIn progress
Due within 30 days (1)
Schedule these now so they do not become urgent.
| Claim | Result | Recommended | Due | Assigned to | Amount |
|---|---|---|---|---|---|
| RHP100341 Tallow Creek Health Plan Dr. Tomas Varga Riverside Orthopedics | Denied | Bill the correct payer. Verify eligibility for the service date and bill the plan that covered it. The patient can be billed only when the payer sends it as patient responsibility (group PR). | Nov 5, 2026 in 29 days | Nobody yet Not started | $1,885.00 |
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- Tallow Creek Health PlanDr. Tomas VargaRiverside OrthopedicsDenied
Bill the correct payer. Verify eligibility for the service date and bill the plan that covered it. The patient can be billed only when the payer sends it as patient responsibility (group PR).
Assigned to nobody yetNot started
More than 30 days (17)
Time in hand, but money is waiting.
| Claim | Result | Recommended | Due | Assigned to | Amount |
|---|---|---|---|---|---|
| RHP100523 Silver Mesa Senior Advantage Dr. Victor Adeyemi Riverside Orthopedics | Denied | Appeal. If authorization was obtained, appeal with the number. If not, write off; it cannot be billed to the patient. | Nov 7, 2026 in 31 days | Nobody yet Not started | $1,050.00 |
| RHP100125 Silver Mesa Senior Advantage Jordan Blake, PA-C Stonebridge | Denied | Appeal. Check the provider enrollment with this payer. A credentialing gap is the usual cause. | Nov 7, 2026 in 31 days | Kendra Hollis Open | $170.00 |
| RHP100123 Silver Mesa Senior Advantage Dr. Samuel Ivers Main Campus | Partially denied | Appeal. Appeal with the visit note and any supporting records. | Nov 7, 2026 in 31 days | Nobody yet Not started | $17.00 |
| RHP100127 Silver Mesa Senior Advantage Dr. Martin Osei Main Campus | Underpaid | Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page. | Nov 7, 2026 in 31 days | Nobody yet Not started | $13.00 |
| RHP100302 Tallow Creek Health Plan Dr. Priya Raman Riverside Orthopedics | Denied | Bill the correct payer. Update coverage order with the patient and bill the primary plan. | Nov 8, 2026 in 32 days | Nobody yet Not started | $167.70 |
| RHP100107 Tallow Creek Health Plan Jordan Blake, PA-C Eastgate Family Care | Paid as expected Paid twice | Review for refund. The payer paid this claim twice. Expect a recoupment, or refund the second payment. | Nov 21, 2026 in 45 days | Nobody yet Not started | $95.68 Refund owed |
| RHP100315 Tallow Creek Health Plan Dr. Owen Whitaker Riverside Orthopedics | Denied | Appeal. If authorization was obtained, appeal with the number. If not, write off; it cannot be billed to the patient. | Nov 22, 2026 in 46 days | Nobody yet Not started | $1,365.00 |
| RHP100104 Tallow Creek Health Plan Dr. Helen Park Riverside Orthopedics | Partially denied | Appeal. If authorization was obtained, appeal with the number. If not, write off; it cannot be billed to the patient. | Nov 22, 2026 in 46 days | Nobody yet Not started | $84.50 |
| RHP100105 Tallow Creek Health Plan Dr. Martin Osei Stonebridge | Underpaid | Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page. | Nov 22, 2026 in 46 days | Nobody yet Not started | $68.90 |
| RHP100757 Tallow Creek Health Plan Dr. Nina Castellano Riverside Orthopedics | Denied | Bill the correct payer. Verify eligibility for the service date and bill the plan that covered it. The patient can be billed only when the payer sends it as patient responsibility (group PR). | Dec 6, 2026 in 60 days | Nobody yet Not started | $1,885.00 |
| RHP100718 Tallow Creek Health Plan Dr. Helen Park Riverside Orthopedics | Denied | Bill the correct payer. Update coverage order with the patient and bill the primary plan. | Dec 9, 2026 in 63 days | Nobody yet Not started | $167.70 |
| RHP100731 Tallow Creek Health Plan Jordan Blake, PA-C Riverside Orthopedics | Denied | Appeal. If authorization was obtained, appeal with the number. If not, write off; it cannot be billed to the patient. | Dec 21, 2026 in 75 days | Nobody yet Not started | $1,365.00 |
| RHP100705 Tallow Creek Health Plan Dr. Martin Osei Riverside Orthopedics | Denied | Appeal. Appeal with the visit note and any supporting records. | Dec 21, 2026 in 75 days | Nobody yet Not started | $936.00 |
| RHP100143 Tallow Creek Health Plan Dr. Helen Park Riverside Orthopedics | Denied | Appeal. If authorization was obtained, appeal with the number. If not, write off; it cannot be billed to the patient. | Dec 21, 2026 in 75 days | Nobody yet Not started | $84.50 |
| RHP101134 Silver Mesa Senior Advantage Maya Chen, NP Riverside Orthopedics | Denied | Bill the correct payer. Update coverage order with the patient and bill the primary plan. | Jul 16, 2027 in 282 days | Nobody yet Not started | $129.00 |
| RHP100549 Silver Mesa Senior Advantage Dr. Martin Osei Riverside Orthopedics | Denied | Bill the correct payer. Verify eligibility for the service date and bill the plan that covered it. The patient can be billed only when the payer sends it as patient responsibility (group PR). | Aug 14, 2027 in 311 days | Nobody yet Not started | $1,450.00 |
| RHP100510 Silver Mesa Senior Advantage Maya Chen, NP Riverside Orthopedics | Denied | Bill the correct payer. Update coverage order with the patient and bill the primary plan. | Aug 17, 2027 in 314 days | Nobody yet Not started | $129.00 |
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- Silver Mesa Senior AdvantageDr. Victor AdeyemiRiverside OrthopedicsDenied
Appeal. If authorization was obtained, appeal with the number. If not, write off; it cannot be billed to the patient.
Assigned to nobody yetNot started - Silver Mesa Senior AdvantageJordan Blake, PA-CStonebridgeDenied
Appeal. Check the provider enrollment with this payer. A credentialing gap is the usual cause.
Assigned to Kendra HollisOpen - Silver Mesa Senior AdvantageDr. Samuel IversMain CampusPartially denied
Appeal. Appeal with the visit note and any supporting records.
Assigned to nobody yetNot started - Silver Mesa Senior AdvantageDr. Martin OseiMain CampusUnderpaid
Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.
Assigned to nobody yetNot started - Tallow Creek Health PlanDr. Priya RamanRiverside OrthopedicsDenied
Bill the correct payer. Update coverage order with the patient and bill the primary plan.
Assigned to nobody yetNot started - Tallow Creek Health PlanJordan Blake, PA-CEastgate Family CarePaid as expectedPaid twice
Review for refund. The payer paid this claim twice. Expect a recoupment, or refund the second payment.
Assigned to nobody yetNot started - Tallow Creek Health PlanDr. Owen WhitakerRiverside OrthopedicsDenied
Appeal. If authorization was obtained, appeal with the number. If not, write off; it cannot be billed to the patient.
Assigned to nobody yetNot started - Tallow Creek Health PlanDr. Helen ParkRiverside OrthopedicsPartially denied
Appeal. If authorization was obtained, appeal with the number. If not, write off; it cannot be billed to the patient.
Assigned to nobody yetNot started - Tallow Creek Health PlanDr. Martin OseiStonebridgeUnderpaid
Appeal. Dispute the shortfall against the contracted rate. Attach the fee schedule page.
Assigned to nobody yetNot started - Tallow Creek Health PlanDr. Nina CastellanoRiverside OrthopedicsDenied
Bill the correct payer. Verify eligibility for the service date and bill the plan that covered it. The patient can be billed only when the payer sends it as patient responsibility (group PR).
Assigned to nobody yetNot started - Tallow Creek Health PlanDr. Helen ParkRiverside OrthopedicsDenied
Bill the correct payer. Update coverage order with the patient and bill the primary plan.
Assigned to nobody yetNot started - Tallow Creek Health PlanJordan Blake, PA-CRiverside OrthopedicsDenied
Appeal. If authorization was obtained, appeal with the number. If not, write off; it cannot be billed to the patient.
Assigned to nobody yetNot started - Tallow Creek Health PlanDr. Martin OseiRiverside OrthopedicsDenied
Appeal. Appeal with the visit note and any supporting records.
Assigned to nobody yetNot started - Tallow Creek Health PlanDr. Helen ParkRiverside OrthopedicsDenied
Appeal. If authorization was obtained, appeal with the number. If not, write off; it cannot be billed to the patient.
Assigned to nobody yetNot started - Silver Mesa Senior AdvantageMaya Chen, NPRiverside OrthopedicsDenied
Bill the correct payer. Update coverage order with the patient and bill the primary plan.
Assigned to nobody yetNot started - Silver Mesa Senior AdvantageDr. Martin OseiRiverside OrthopedicsDenied
Bill the correct payer. Verify eligibility for the service date and bill the plan that covered it. The patient can be billed only when the payer sends it as patient responsibility (group PR).
Assigned to nobody yetNot started - Silver Mesa Senior AdvantageMaya Chen, NPRiverside OrthopedicsDenied
Bill the correct payer. Update coverage order with the patient and bill the primary plan.
Assigned to nobody yetNot started